关节镜治疗肱骨大结节骨折的应用及效果初评  

Application of arthroscopy in treatment of large tuberosity fracture of humerus and its effect

作　　者：苗巍[1] 张鑫 杜增利 

机构地区：[1]河南省焦作煤业集团中央医院骨科,河南焦作454000 [2]河南省焦作煤业集团中央医院麻醉科,河南焦作454000

出　　处：《中国医学工程》2017年第8期41-43,共3页China Medical Engineering

摘　　要：目的研究并分析治疗肱骨大结节骨折患者使用关节镜的效果。方法收集肱骨大结节骨折患者共206例,患者均接受关节镜治疗,将治疗前后患者的肩关节评分、疼痛程度评分进行对比。结果治疗后患者的肩关节评分为(33.15±3.47)分,显著高于治疗前的(19.52±3.42)分,差异有统计学意义(t=12.694,P=0.000);治疗后疼痛程度0级患者9例,疼痛程度I级患者21例,疼痛程度II级患者6例,无人存在Ⅲ级疼痛,与治疗前比较,差异有统计学意义,均P<0.05。结论在肱骨大结节骨折患者的治疗过程中,关节镜能够显著促进骨愈合,确保治疗效果,使患者预后更佳,值得推广应用。【Objective】To study and analyze the effect of arthroscopy in the treatment of patients with large nodular fractures of humerus.【Methods】A total of 206 patients with large tuberosity of the humerus were collected.The patients were treated with arthroscopy.The scores of the shoulder and the degree of pain were compared before and after treatment.【Results】After treatment,the shoulder score of the patients was（33.15 ± 3.47）,which was significantly lower than（19.52 ± 3.42） before treatment,and the difference was statistically significant（t =12.694,P =0.000）;there were 9 cases of pain grade 0 after treatment,21 patients with pain grade I and 6 patients with pain grade II,no pain III was found,and there was no significant difference between the two groups（P〈0.05）.【Conclusion】Arthroscopy can significantly promote bone healing during the treatment of patients with large nodular fractures of humerus,and ensure the effect of treatment,so that the prognosis of patients is better and it is worthy of popularization and application.

关 键 词：肱骨大结节骨折 关节镜 肩关节评分 疼痛程度 治疗效果 

分 类 号：R683.41[医药卫生—骨科学]