漂浮肩不同治疗方式的疗效评价  

Comparative study on curative effects of different methods for the treatment of the “floating shoulder injuries”

作　　者：周青[1] 李坤[1] 陈波[1] 周耀东[1] 陈豪[1] 王振[1] 刘进炼[1] ZHOU Qing LI Kun CHEN Bo ZHOU Yao-dong CHEN Hao WANG Zhen LIU Jin-lian(Department of Orthopaedics, Suzhou Kowloom Hospital ,Medical College of Shanghai Jiaotong University,Suzhou 215021 ,Jiangsu, China)

机构地区：[1]上海交通大学医学院附属苏州九龙医院骨科,江苏苏州215021

出　　处：《中国骨伤》2016年第9期847-852,共6页China Journal of Orthopaedics and Traumatology

摘　　要：目的 :探讨采用非手术治疗、手术固定锁骨、手术固定锁骨和肩胛骨3种不同方式治疗漂浮肩的临床疗效。方法:对2006年2月至2014年8月56例采用3种不同方式治疗漂浮肩患者的临床疗效行回顾性分析:其中A组12例,男7例,女5例,平均年龄(45.08±13.47)岁,均采用非手术治疗法;B组29例,男18例,女11例,平均年龄(37.28±10.43)岁,均采用手术治疗单独固定锁骨法;C组15例,男11例,女4例,平均年龄(36.20±9.50)岁,均采用手术治疗固定锁骨和肩胛骨法。分别采用Herscovici标准和Constant-Murley肩关节评分对3种不同方式治疗后的肩关节功能进行评分,并对3组患者术后的临床疗效进行分析。结果:B组患者的手术时间、术中出血量均少于C组(P=0.000)。分别采用Herscovici标准和Constant-Murley肩关节评分比较3种方式治疗漂浮肩患者的临床疗效,A组与B组、A组与C组的临床疗效差异有统计学意义(P=0.000),B组与C组的临床疗效差异无统计学意义。结论:手术治疗对漂浮肩损伤患者的肩关节功能恢复有明显优势,且单独固定锁骨风险更低。Objective：To investigate the clinical curative effects of different methods for the treatment of ＂floating shoulder injuries＂.Methods;A total of 56 patients with ＂floating shoulder injuries＂ from February 2006 to August 2014 were enrolled in the study,including 12 patients[7 males and 5 females with an average age of（45.08±13.47）years old]treated by non-operation（group A）,29 patients[18 males and 11 females with an average age of（37.28±10.43） years oldjtreated by internal plate fixation of the fracture of the clavicle（group B）,15 patients（11 males,4 females;average age of 36.20±9.50 years） treated by internal plate fixation of the fracture of the clavicle and the scapular（group C）.Functional outcomes of injured shoulder joints were assessed using Herscovici and Constant-Murley Shoulder Outcome score.Results：There was a significant difference on operative time and intra-operative blood loss between group B and group C（P=0.000）.There were significant differences of functional outcomes among three groups（P=0.000）.The shoulder joint function of group A and group B,group A and group C were significantly different（P=0.000）,while there was no significant difference between Group B and Group C.Conclusion;Operation treatment for ＂floating shoulder injuries＂ has obvious advantages for the functional recovery of shoulder joint,and the risk for the single fixation treatment of clavicle is lower.

关 键 词：肩胛骨 锁骨 骨折 肩关节 

分 类 号：R681.7[医药卫生—骨科学]