保守与手术治疗肱骨近端骨折的疗效对比

目的：探讨保守治疗与手术治疗肱骨近端骨折的临床疗效观察。方法：将170例肱骨近端骨折患者随机分为保守治疗组（100例）和手术治疗组（70例），总结分析两组患者的治疗效果。结果：保守治疗组在日常生活情况及关节疼痛两方面的评分均优于手术治疗组（P〈0．05），而手术治疗组在力量方面评分及骨折端的对位情况评分均优于保守治疗组（P〈0．05）：保守治疗组总体疗效优良率为88．0％，手术治疗组总体疗效优良率为85．7％，两组总体疗效优良率比较差异无统计学意义（P〉0．05）。结论：笔者认为在临床上治疗肱骨近端骨折，保守治疗和手术治疗两种方法各有长短，对于无移位骨折和NerrⅠ、Ⅱ型骨折均可采取保守治疗，对NerrⅢ、Ⅳ型或移位较严重、粉碎复杂的骨折可采取手术治疗。

Efficacy compare between the expectant treatment group and the operation treatment group in treating proximal humerus fracture

Objective： To investigate the clinical efficacy of expectant treatment and operation therapy on treating proximal humerus fracture. Methods： 170 patients were randomly divided into two groups, 100 patients in the expectant treatment group and 70 patients in the operation treatment group. Results： The daily life and pain score in the expectant treatment group were better than those in the operation treatment group （P〈0.05）, while the strength score and fracture contraposition in the operation treatment group was better （P〈0.05）. The total effective rates in the expectant treatment group and the operation treatment group were 88.0% and 85.7% respectively. Conclusion： The two methods had their advantages and disadvantages.