| 罗令 孙晓峰 刘洋波 张友明 高剑 黄文华.微创后入路治疗肩胛骨骨折的临床研究[J].,2015,15(17):3349-3352 |
| 微创后入路治疗肩胛骨骨折的临床研究 |
| Clinical Research of the Posterior Minimally Invasive Approach for ScapulaFracture |
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| DOI： |
| 中文关键词: 肩胛骨骨折 微创后入路 内固定术 |
| 英文关键词: Scapular fracture Minimally invasive surgery Interfixation |
| 基金项目:国家高技术研究发展计划（863 计划）（2012AA02A603） |
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| 中文摘要: |
| 目的：探讨微创后入路手术治疗肩胛骨骨折的临床疗效。方法：选取2009 年6月~2014年1 月在我院接受后路内固定手术
治疗的40例肩胛骨骨折，治疗组20 例，行微创后入路内固定术，对照组20 例，行Judet 入路内固定术。比较两组间手术时间、术
中出血量、切口总长度及术后肩关节功能Constant 评分。结果：40 例患者均获随访，随访时间12~36 个月，平均16.5 个月。治疗组
手术时间、术中出血量、切口总长度均优于对照组（均P<0.05），术后6 个月肩关节功能：治疗组优15 例，良3 例，可1 例，差1 例，
优良率90 %，对照组优14 例，良2 例，可3 例，差1 例，优良率80 %。两组优良率比较，差异有统计学意义（P<0.05）。两组均无感
染、骨折延迟愈合或不愈合。对照组1例发生肩胛上神经卡压。结论：微创后入路手术操作简单，创伤小，恢复快，是一种安全有效
的肩胛骨骨折手术入路。 |
| 英文摘要: |
| Objective:To investigate the effect of operative treatment of scapular fractures through the posterior minimally invasive
approach.Methods:From June 2009 to January 2014, 40 patients of scapular fractures were treated by open reduction and internal
fixation through the posterior approach. 20 cases were performed the posterior minimally invasive approach, the other 20 cases were performed
the Judet approach as control. Such indexes as the incisional length, the total operative time, intraoperative bleeding volume were
compared between the two groups. Using a Constant scores of the shoulder function, the postoperative function recovery of shoulder joint
was elevated.Results:Forty patients were followed up with an average of 16.5 months (range 12 months~36 months). The incisional
length, the total operative time, intraoperative bleeding volume in treatment group were less than control (P<0.05). According to Constant
scores 6 months postoperatively, the excellent and good rate was 90 % in treatment group, and in control group, the excellent and good
rate was 80 %, and there was significant difference between two groups (P<0.05). There was no delayed union, nonunion, infection in either
group. In control group, there was 1 patient that recurred suprascapular nerve entrapment syndrome.Conclusion:Compared with
Judet approach, the posterior minimally invasive approach has the advantage of less trauma, simple procedure, rapid recovery. Therefore,
it is an effective and safe method of scapular fracture. |
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