锁定加压钢板与三叶草接骨板治疗肱骨近端骨折合并肩关节脱位的疗效对比

摘要

目的:比较锁定加压钢板与三叶草接骨板治疗肱骨近端骨折合并肩关节脱位的临床疗效.方法:选取2014年5月至2016年5月广西东盟经济技术开发区人民医院收治的肱骨近端骨折合并肩关节脱位的患者80例,按治疗方式不同随机分为锁定加压钢板组(A组)与三叶草接骨板组(B组),每组40例.比较两组患者的临床疗效、术中出血量及术后并发症发生率.结果:A组患者肩关节功能恢复的优良率为97.5％,显著高于B组的82.5％ (P＜0.05),且术中出血量显著少于B组(P＜0.05);A组术后并发症发生率为2.5％,显著低于B组的22.5％,差异有统计学意义(P＜0.05).结论:锁定加压钢板治疗肱骨近端骨折合并肩关节脱位的临床疗效优于三叶草接骨板治疗,能有效促进患者肩关节功能恢复,明显减少术中出血量和术后并发症,值得临床推广应用.%Objective:To compare the clinical effect of locking compression plate (LCP) and Clover plate (CP) in the treatment of proximal humeral fracture (PHF) complicated with shoulder dislocation.Methods:80 PHF patients with shoulder dislocation treated in our hospital from May 2014 to May 2016 were selected and randomly divided into group A and group B with 40 cases each,according to different treatment methods.Patients in group A received LCP treatment,while those in group B received CP.The clinical efficacy,intraoperative blood-loss volume and the incidence of complications were compared between the two groups.Results:The excellent rate of shoulder function recovery in group A was 97.5％,which was significantly higher than that in group B (82.5％) (P＜0.05).The intraoperative blood-loss volume and the incidence of complications were less in group A than those in group B (P＜0.05).Conclusion:LCP was more effective than CP in the treatment of PHF complicated with shoulder dislocation,which could improve the prognosis of patients and reduce intraoperative blood-loss volume and the incidence of complications.