| 蒋钟霆,骆平平,李文杰.四动五步法和切开复位内固定治疗闭合性肱骨干骨折临床应用分析[J].浙江中西医结合杂志,2017,27(10): |
| 四动五步法和切开复位内固定治疗闭合性肱骨干骨折临床应用分析 |
| Clinical application of five - step and open reduction and internal fixation in the treatment of closed humeral shaft fractures in four cases Jiang Zhongting Luo Pingping Li WenjieZhejiang Chinese Medicine University, Hangzhou 310051, Zhejiang, China |
| 投稿时间：2017-01-18 修订日期：2017-08-18 |
| DOI： |
| 中文关键词: 闭合性肱骨干骨折 四动五步法 切开复位内固定 |
| 英文关键词:Closed humeral shaft fractures four movement and five steps open reduction and internal fixation |
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| 中文摘要: |
| 目的：对比分析四动五步法和切开复位内固定治疗闭合性肱骨干骨折的不同临床疗效。方法：随机选取2015年6月~2016年12月于我院就诊的闭合性肱骨干骨折患者88例,按照治疗方式的不同,随机均分为非手术组(n=44)与手术组(n=44),非手术组患者给予四动五步法治疗,手术组给予切开复位内固定法治疗,对比两组患者的治疗效果。结果：两组患者的骨折治疗优良率对比差异不显著,无统计学意义(P>0.05)；两组患者的并发症发生率对比差异不显著,无统计学意义(P>0.05)；非手术组患者的骨折愈合时间显著短于手术组(P<0.05),肩关节功能评分显著高于对照组(P<0.05)；肘关节功能评分对比差异不显著,无统计学意义(P>0.05)。结论：四动五步法和切开复位内固定治疗闭合性肱骨干骨折的临床效果均较好,但四动五步法治疗患者的骨折愈合时间更短,患者的肩功能恢复更快,且操作简单、治疗费用较少,具有临床推广使用价值。 |
| 英文摘要: |
| Objective: To compare the clinical efficacy of the four movement and five step method and open reduction and internal fixation in the treatment of closed humeral shaft fractures. Methods: randomly selected in June 2015 ~2016 year in December in our hospital were closed humeral shaft fractures in patients with 88 cases, according to the different treatment methods, were randomly divided into non operative group (n=44) and operation group (n=44), non operative group were given four five step treatment, surgery group were given open reduction and internal fixation method the treatment, compared two groups of patients. Results: two groups of patients with fracture treatment excellent rate of contrast was not significant difference, no statistical significance (P>0.05); the two groups of patients with complications compared no significant difference, no statistical significance (P>0.05); non operative group of patients with fracture healing time was significantly shorter than the surgery group (P<0.05), shoulder joint function score was significantly higher than that of the control group (P<0.05); elbow joint function score compared no significant difference, no statistical significance (P>0.05). Conclusion: four the five step method and clinical effect of open reduction and internal fixation for the treatment of closed fracture of humeral shaft were good, but the four move five steps in the treatment of patients with fracture healing time, patients with shoulder function recovery faster, and has the advantages of simple operation, less the cost of treatment, is worthy of clinical application. |
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