Objective:To explore a reasonable treatment for humeral shaft fracture by comparison of effect between intramedullary nail and licking compression plat (LCP). Method:In all 58 patients with humeral shaft fractures, 34 cases were treated with intramedullary nail fixation and 24 cases were treated with LCP fixation. And then compared the two groups in terms of the blood loss, operative time,hospital stay time, rate of bone healing in half years after operation, clinical effect evaluation and postoperative complications. Result:There was significantly different in the blood loss and mean operative time between two groups(P<0. 01) ; There was no significantly different in the shoulder and elbow function after operation between two groups ( P>0. 05 ) ; There was no significant difference in the rate of incidence of complicationafter the operation between the two groups (P>0.05). Conclusion: The intramedullary nail and LCP have both advantages and disadvantages, both are good internal method for humeral shaft fracture if operation indications are controlled strictly.%目的:分析比较带锁髓内钉与锁定加压钢板二种不同内固定治疗肱骨干骨折的疗效.方法:58 例肱骨干骨折患者,其中带锁髓内钉内固定34 例,锁定加压钢板内固定24 例,比较二种内固定方法在术中出血量、手术时间、平均住院时间、术后半年骨折愈合率、临床疗效评价以及术后并发症等方面的差异.结果:LCP 组术中出血量及手术时间与带锁髓内钉比较,差别有高度统计学意义(P＜0.01);两组术后肩、肘关节功能评价,差别无统计学意义(P＞0.05);两组术后并发症发生率,差别无统计学意义(P＞0.05 ).结论:带锁髓内钉与LCP 各有优缺点,在严格掌握适应症的前提下,二者均是安全、有效的治疗肱骨干骨质的内固定方式.
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