肱骨外科颈骨折分型与治疗简述
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摘要
目的根据目前肱骨外科颈骨折不同的临床分型,探讨不同治疗方法运用于肱骨外科颈骨折临床上的治疗效果。方法 (1)选取2012年7月—2015年7月入院的96名患者,由于肱骨外科颈骨折多发生于老年人和未成年人,因此本试验选取老年患者和未成年患者各48名。(2)将96名患者随机分为两组,手术治疗组和保守治疗组,每组各24名未成年人患者和25名老年患者。在三年的治疗中观察保守治疗与手术治疗对不同分型的临床效果。结果手术治疗组48例,治疗效果较好的有21例(44%),治疗效果一般的有24例(50%),效果不明显的有3例。保守治疗组48例病患中,治疗效果较好的有20例(41%),一般的有25例(52%),效果不明显的有3例,两组在治疗效果上无明显差异(P>0.05)。结论保守治疗与手术治疗对肱骨外科颈骨折治疗无明显差别,各有优劣,具体运用哪种方式治疗需要根据患者的骨折类型、身体素质、经济状况以及个人主观意愿来决定。
Objective To investigate the clinical effects of different treatment methods on the fracture of surgical neck of humerus according to the different clinical types of fracture of surgical neck of humerus. Methods totally 96 on patients in with fracture of surgical on-neck of humerus dyuing with 48 adult patients and 48 elderly patieds. Methods Ninety-six patients were randomly divided into two groups, surgical treatment group and conservative treatment group, 24 patients in each group and 25 elderly patients adult. The clinical effects of different treatment methods on different typing were observed during three years of treatment. Results 48 cases in treatment group, the treatment effect was in the 21 cases(44%), generat in 24 cases,ineffective in(50%) in 3 cases, the excellent rate was 44%, good rate was 50%; 48 patients in conservative treatment group patients, the better therapeutic effect in 20 cases, general in 25 cases the effect is not obvious, there are 3 cases, the excellent rate was 41%, good rate of 52%. There was no significant difference between the sudical and conservative groups in the treatment effect. Conclusion there is no obvious difference between the two treatments.ineffective in treatment should be selected based on the type of fracture, physical quality, economic status, and subjective wishes of the patient.
Objective To investigate the clinical effects of different treatment methods on the fracture of surgical neck of humerus according to the different clinical types of fracture of surgical neck of humerus. Methods totally 96 on patients in with fracture of surgical on-neck of humerus dyuing with 48 adult patients and 48 elderly patieds. Methods Ninety-six patients were randomly divided into two groups, surgical treatment group and conservative treatment group, 24 patients in each group and 25 elderly patients adult. The clinical effects of different treatment methods on different typing were observed during three years of treatment. Results 48 cases in treatment group, the treatment effect was in the 21 cases(44%), generat in 24 cases,ineffective in(50%) in 3 cases, the excellent rate was 44%, good rate was 50%; 48 patients in conservative treatment group patients, the better therapeutic effect in 20 cases, general in 25 cases the effect is not obvious, there are 3 cases, the excellent rate was 41%, good rate of 52%. There was no significant difference between the sudical and conservative groups in the treatment effect. Conclusion there is no obvious difference between the two treatments.ineffective in treatment should be selected based on the type of fracture, physical quality, economic status, and subjective wishes of the patient.
引文
[1]杨晓茂,胡盛琳,马胜东.肱骨外科颈骨折的手术治疗[J].四川医学,2011(1):83-84.
[2]臧晓娟,朱振明.肱骨外科颈骨折的非手术治疗进展[J].中国民族民间医药,2011(5):73+79.
[3]颜凡霄.肱骨外科颈骨折分型与治疗简述[J].中国中医药现代远程教育,2011(6):131-132.
[4]左艳武,张力,杨忠利.老年肱骨外科颈骨折临床治疗分析32例[J].中国社区医师(医学专业),2011(35):178-179.
[5]孙洪林.中医治疗肱骨外科颈骨折临床观察[J].中外医疗,2013(23):136-137.
[6]段骏,王建超.肱骨近端骨折的分型与治疗方法探讨[J].骨科,2013(4):200-202.
[7]余雪丽,杜妙娟.康复护理干预对肱骨外科颈骨折患者术后治疗依从性、肩关节功能恢复和护理满意度的影响[J].中国医药导报,2014(8):132-134.
[2]臧晓娟,朱振明.肱骨外科颈骨折的非手术治疗进展[J].中国民族民间医药,2011(5):73+79.
[3]颜凡霄.肱骨外科颈骨折分型与治疗简述[J].中国中医药现代远程教育,2011(6):131-132.
[4]左艳武,张力,杨忠利.老年肱骨外科颈骨折临床治疗分析32例[J].中国社区医师(医学专业),2011(35):178-179.
[5]孙洪林.中医治疗肱骨外科颈骨折临床观察[J].中外医疗,2013(23):136-137.
[6]段骏,王建超.肱骨近端骨折的分型与治疗方法探讨[J].骨科,2013(4):200-202.
[7]余雪丽,杜妙娟.康复护理干预对肱骨外科颈骨折患者术后治疗依从性、肩关节功能恢复和护理满意度的影响[J].中国医药导报,2014(8):132-134.