不稳定肩胛颈骨折植入物与非植入物治疗的比较  

Implant treatment versus non-implant treatment for unstable fracture of the scapular neck

作　　者：徐俊杰[1] 李业海[1] 刘庆[1] 唐浩然[1] 梁俊升[1] 姚继荣[1] 刘和风[1] 

机构地区：[1]巢湖市第一人民医院骨二科,安徽省巢湖市238000

出　　处：《中国组织工程研究与临床康复》2011年第30期5561-5564,共4页Journal of Clinical Rehabilitative Tissue Engineering Research

摘　　要：背景:肩胛颈骨折治疗存在争议,部分学者认为保守治疗即可获得满意的临床效果;而另一部分学者认为需要钢板置入治疗。目的:比较重建钢板置入治疗与保守治疗不稳定肩胛颈骨折的疗效。方法:于2005-07/2009-12收治25例不稳定肩胛颈骨折患者,其中保守治疗13例,重建钢板置入内固定治疗12例。结果与结论:25例获随访3～24个月。植入物组和非植入物组骨折愈合时间均为2～4个月,无明显区别。非植入物组Herscovici功能评分(8.46±3.20)分;优2例,良3例,可6例,差2例,优良率38.5%;正位X射线片上测量为盂极角(21.7±4.6)°。植入物组Herscovici功能评分(11.75±2.60)分;优5例,良6例,可1例,差0例,优良率91.7%;盂极角(38.8±2.9)°,各项指标两组比较,差异均有显著性意义(P<0.05)。说明重建钢板置入治疗不稳定肩胛颈骨折可以重建肩关节稳定性,促进关节功能恢复,效果优于保守治疗。BACKGROUND：Treatment for Scapular neck fracture is controversial,some scholars believe that conservative treatment can obtain a satisfactory outcomes;while the other scholars believe that steel plate treatment is required.OBJECTIVE：To explore the effective methods for treatment of unstable fractures of the scapular neck.METHODS：A retrospective analysis of 25 patients with unstable fractures of the scapular neck was done.Twelve patients were treated by steel plate internal fixation and 13 patients were treated by conservative treatment from July 2005 to December 2009.RESULTS AND CONCLUSION：Twenty-five patients were followed up from 3 to 24 months.In the non-implant group,the Herscovici＇s score was 8.46±3.20;2 cases achieved the excellent result,3 cases good,6 cases fair and 2 cases poor,and the excellent and good rate was 38.5%;the X-ray film results showed that glenopolar angle（GPA） was（21.7±4.6） °.In the implant group,the Herscovici＇s score was 11.75±2.60;5 cases achieved the excellent result,6 cases good,1 case fair and none case poor,and the excellent and good rate was 91.7%;the GPA was（38.8±2.9） °.There were significant differences between two groups（P〈0.05） .Implant treatment for unstable fractures of the scapular neck can reconstruct the stability and facilitate function of the shoulder joint.

关 键 词：肩胛骨骨折 内固定 重建钢板 保守治疗 比较 

分 类 号：R318[医药卫生—生物医学工程]