摘要
目的探讨肩上方悬吊复合体（SSSC）联合损伤的治疗方法。方法分析2002～2006年收治的17例SSSC联合损伤病人的临床资料，2例行保守治疗，其余行手术治疗。手术治疗组中4例仅固定明显移位或脱位的锁骨或肩锁关节，11例于损伤处行联合固定。结果平均随访17．5个月，所有骨折均愈合。保守治疗组ASES评分67．1分，手术组ASES评分81．7分。结论保守治疗及手术治疗都可以取得较好疗效，但应根据不同的病人和骨折类型采用个体化的治疗方案。通过手术恢复SSSC的完整性，有利于发挥其维持上肢和躯干之间稳定性的作用。
Objective To discuss the therapy of fraetures of superior shoulder suspensory complex （SSSC）. Methods Seventeen patients with SSSC treated during 2000--2006 were reviewed. Of whom, 15 underwent surgery, two was treated conservatively. Of those treated surgically, a simple immobilization was done for obviously displaced clavicular or dislocated aeromioelavieular joint in （our cases, and combined fixation was conducted for the rest. Results A mean follow-up for 17.5 months showed all the （raetures healed well. The ASES score was 67.1 for non surgical patients,while 81.7 for those received surgery. Conclusion Both surgery and non-surgery can get a relatively good outcome （or this kind of injury. An individualized therapeutic modality should be adopted based on different patients and conditions. To recover the integrality of SSSC through surgery is conducive to keeping the stability between upper limbs and trunk.
出处
《齐鲁医学杂志》
2008年第4期347-348,350,共3页
Medical Journal of Qilu
关键词
肩上方悬吊复合体
创伤和损伤
治疗结果
Superior shoulder suspensory complex
Wounds and injuries
Treatment outcome
