摘要
目的：探讨手术治疗不稳定型肩胛骨骨折的效果,为临床治疗提供参考。方法：选取2011年9月-2014年9月入院的52例不稳定型肩胛骨骨折患者作为研究对象,根据不同骨折类型采取合适的手术方案,观察患者的治疗效果。结果：所有患者均获随访,随访时间6~12个月,平均（8.5±1.6）个月。手术时间45~110 min,平均（76.8±28.5）min,术中出血量150~500 ml,平均（285.8±157.2）ml,骨折愈合时间2~5个月,平均（3.2±1.5）个月。根据Hardegger功能评定标准,优31例,良14例,可5例,差2例,功能恢复优良率86.5%,仅1例患者出现切口愈合不良,无血管、神经并发症。结论：手术治疗不稳定型肩胛骨骨折有利于患者肩关节功能的恢复,值得在临床中推广,但需根据具体骨折类型采取合适手术入路。
Objective： To evaluate the clinical effect of surgical treatment for 52 patients with unstable scapular fracture.Method： 52 patients with unstable scapular fracture were treated by different operative approaches from September 2011 to September 2014, which were analyzed retrospectively, and the operation time, blood loss, fracture healing time, and the functional evaluation of shoulder joint were collected.Result： All cases had been followed up for 6-12 months, an average of （8.5 ± 1.6）months.The operation time was 45-110 rain, an average of （76.8 ±28.5）min; the blood loss was 150-500 ml, an average of （285.8 ± 157.2）ml; and fracture healing time was 2-5 months, an average of （3.2 ± 1.5）months.According to Hardegger standard, there were excellent of 31 cases, good of 14 cases, average of 5 cases and poor of 2 cases, with an excellent and good rate of 86.5%.All the other patients were timely healed in incision but one and no complications of blood vessel and nerve were observed.Conclusion： Good effect can be obtained by operation in the treatment of different types of unstable scapular fracture.
出处
《中外医学研究》
2015年第32期26-28,共3页
CHINESE AND FOREIGN MEDICAL RESEARCH
