摘要
目的对比分析一期桡神经探查与保守治疗对肱骨干骨折合并桡神经损伤患者神经功能恢复的影响。方法回顾性分析2008年2月至2012年3月收治的95例肱骨干骨折合并桡神经损伤患者的临床资料,将接受保守治疗的45例患者作为对照组,接受一期桡神经探查术的50例患者作为实验组,对比分析两组患者的神经功能恢复情况。结果实验组最终共2例患者接受二次手术,而对照组共3例患者接受二次手术;实验组神经功能开始恢复时间(4.9±2.7周)及完全恢复时间(5.5±3.6周)与对照组(14.3±7.9周,14.8±7.6周)相比,差异无显著性(t=0.911,0.314,P>0.05);实验组与对照组神经功能恢复程度比较,差异无统计学意义(Z=0.246,P<0.05)。结论一期桡神经探查与保守治疗在肱骨干骨折合并桡神经损伤治疗中的临床疗效相当,两种治疗方式下患者的神经功能恢复并无显著差异,保守治疗仍不失为一种较好的方法。
Objective To compare early nerve exploration with conservative treatment for the recovery of neural function in radial nerve palsy associated with humeral shaft fracture. Methods The clinical data of 95 patients with radial nerve palsy associated with humeral shaft frac- ture were retrospectively analyzed. Forty - five patients who received conservative treatment were assigned as control group, while 50 patients who received early nerve exploration were assigned as experimental group. Functional recovery of the radial nerve was compared between the two groups. Results The secondary surgery was performed in 2 patients in experimental group and 3 patients in control group. The differences in ini- tial recovery time and full recovery time between the two groups were not statistically significant （4.9±2.7, 14.3± 7.9 weeks vs 5.5 ± 3.6, 14. 8±7.6 weeks, P 〉 0.05 ） ; and the difference in the degree of recovery of the nerve function was not statistically significant （ P 〈0. 05 ）. Conclusion Early nerve exploration and conservative treatment have similar effect on neural function recovery and conservative treatment can be used as a good choice in the treatment of radial nerve palsy associated with humeral shaft fracture.
出处
《临床和实验医学杂志》
2014年第1期41-43,共3页
Journal of Clinical and Experimental Medicine
关键词
肱骨干骨折
桡神经损伤
一期桡神经探查
保守治疗
对比研究
Humeral shaft fracture
Radial nerve palsy
Early nerve exploration
Conservative treatment
Comparative study
