肱骨干骨折并桡神经损伤不同治疗方法的疗效分析

肱骨干骨折并桡神经损伤不同治疗方法的疗效分析

谢松林

【期刊名称】《中国实用神经疾病杂志》 【年(卷),期】2015(000)003

【摘要】Objective To study the clinical efficiency of different treatment methods for humeral shaft fracture combined with radial nerve injury.Methods From January 2012 to January 2014 in our hospital, a total of 60 cases of humeral shaft frac‐ture with radial nerve injury patients were selected as research object. According to different treatment methods, all cases were divided into group A and group B, 35 cases in group A were implemented the early exploration of the radial nerve, 25 cases in group B were implemented conservative treatment, the clinical therapeutic effects of two groups were observed.Results The excellent rate of group A was 88.6%, which was 80.0% in group B, there was no significant difference existed comparing be‐tween group A and group B (P>0.05). Postoperative follow‐up time of group A was (12.2 ± 2.3) months, fracture healing time was (4.1 ± 0.3) months. Postoperative follow‐up time of group B was (12.1 ± 2.4) months, fracture healing time was (4.0 ± 0.2) months. No patients had postoperative delayed union or nonunion. Conclusion Early exploration and conservative treatment for humeral fracture with radial nerve injury are feasible, which can improve the overall treatment efficacy, and pro‐mote the