宋其合 张小舟 邱波

    [摘要] 目的 探讨髓内钉结合记忆环抱器与锁定加压钢板内固定治疗肱骨干螺旋型骨折的临床疗效。 方法 选择2014年1月～2016年1月武汉科技大学附属孝感医院收治的51例肱骨干螺旋型骨折患者为研究对象，采用随机数字表法将其分为两组，分别应用髓内钉结合有限切开复位环抱器内固定(IMN组，25例)和切开复位锁定加压钢板内固定(LCP组，26例)治疗。对两组手术时间、术中出血量、肩肘关节功能[Neer评分和美国特种外科医院膝关节功能评分(HSS)]及并发症情况进行比較。 结果 两组手术时间比较，差异无统计学意义(P > 0.05)；IMN组术中出血量低于LCP组，差异有统计学意义(P < 0.05)。术后IMN组Neer评分低于LCP组，HSS评分高于LCP组，差异均有统计学意义(P < 0.05)。两组术后均有1例发生伤口感染，术后16周IMN组均未发生骨折延迟愈合及不愈合、桡神经损伤。 结论 髓内钉结合记忆环抱器与锁定加压钢板两种治疗方法均可有效治疗肱骨干螺旋型骨折，其中髓内钉结合环抱器有限切开治疗肱骨干螺旋型骨折具有复位好、创伤小、出血量少等优势。

    [关键词] 肱骨干骨折；螺旋型；髓内钉；记忆环抱器；锁定钢板

    [中图分类号] R683.42 [文献标识码] A [文章编号] 1673-7210(2018)06(c)-0064-05

    [Abstract] Objective To explore the clinical efficacy of interlocking intramedullary nail combined with the shape memory embracing fixator and the locking compression plate technique in the treatment of humeral shaft spiral fracture. Methods A total of 51 patients with humeral shaft spiral fracture in the Xiaogan Hospital Affiliated to Wuhan University of Science and Technology from January 2014 to January 2016 were selected as the research objects and divided into the IMN group (25 cases) and LCP group (26 cases) by random number table. The IMN group was treated with interlocking intramedullary nail combined with the shape memory embracing fixator and the LCP group was treated with locking compression plate. The operation time ......