【作者】 王锐；

【导师】 齐尚锋；

【作者基本信息】 山东中医药大学 ， 中医骨伤科学， 2012， 硕士

【摘要】 目的：分析比较非手术治疗和手术治疗对肱骨外科颈骨折在临床上的治疗效果方法：2010年7月～2011年9月收治60例肱骨外科颈骨折患者，分为AB两组，A组30例，B组30例。A组采用手法整复并小夹板外固定术治疗方案，B组采用切开复位内固定术治疗方案。临床随访6个月~11个月,平均随访时间为8.6个月。观察两组治疗前一般情况，定期X线片复查。观察肱骨外科颈骨折愈合以及检查术后患肢功能恢复情况。结果：术后AB两组骨折全部骨性愈合。按Constant和Murley肩关节功能评分标准,A组：优13例，良10例，可5例，差2例，优良率为76.67%；B组：优5例，良14例，可9例，差2例，优良率为63.33%。结论：选择手法整复并小夹板外固定术治疗肱骨外科颈骨折较切开复位内固定术治疗可以加速骨折愈合，减少肩关节粘连及并发症的发生，肩关节功能恢复较好。更多还原

【Abstract】 Objective：To analyze and compare the therapeutic effect with humeral surgical neckof both non-surgical treatment and surgical treatment.Methods：From July2010to September2010,60patients with surgical neck ofhumerus fracture were divided into the A B two groups,30cases in A group and30casesin group B. Manipulative reduction with external splints fixation was administrated to thecases of group A, and, operation was administrated to the cases of group B. Thesepatients were followed up from6months to11months with an average time8.6months.Toobserve the general situation before treatment,and X-ray re-inspected regularly. To observethe surgical neck of humerus fracture healing and to check the recovery of limb functionafter operation.Results: All fractures both of group A and B reached bone healing after operation.The clinical results were evaluated with the Constant and Murley shoulder function score.In group A,13cases achieved excellent result,10good,3fair,2failure, with the excellentand good rate76.67%. In group B,5cases achieved excellent result,14good,9fair,2failure, with the excellent and good rate63.33%.Conclusion：The treatment effect of Manipulative reduction with external splintsfixation on Surgical Neck of the Humerus Fracture than operation can accelerate fracturehealing, reduce shoulder joint adhesions and the incidence of postoperative complications,and was better to recovery of shoulder function.更多还原