桥接内固定系统和钢板内固定治疗肩胛骨体部及颈部骨折对比研究  

Comparative study of bridging internal fixation system and plate internal fixation in the treatment of scapular body and neck fractures

作　　者：陈西政 于志勇 钟俊敏 CHEN Xi-zheng;YU Zhi-yong;ZHONG Jun-min(Department of Orthopedics,Shenzhen Fuyong People's Hospital,Shenzhen 518103,Guangdong,CHINA)

机构地区：[1]深圳市福永人民医院骨一科,广东深圳518103

出　　处：《海南医学》2021年第15期1968-1971,共4页Hainan Medical Journal

摘　　要：目的比较采用桥接内固定系统和钢板内固定治疗肩胛骨体部及颈部骨折的临床效果。方法选择2015年12月至2020年12月深圳市福永人民医院收治的60例肩胛骨体部及颈部骨折患者为研究对象,按照随机数表法将患者分为研究组和对照组各30例。研究组患者采用桥接内固定系统治疗,对照组采用钢板固定治疗。比较两组患者的临床指标、肩关节功能及并发症情况。结果研究组患者的术中时间、骨折愈合时间和住院时间分别为(32.55±8.21)min、(10.52±1.20)周、(9.32±1.02)d,明显短于对照组的(40.26±6.39)min、(13.20±1.51)周、(13.05±1.27)d,差异均有统计学意义(P<0.05);研究组患者的术中出血量为(40.21±5.74)mL,明显少于对照组的(53.06±6.31)mL,差异有统计学意义(P<0.05);研究组患者术后6个月的Constant-Murley评分、Neer评分分别为(86.32±4.12)分、(88.16±5.36)分,明显高于对照组的(80.21±5.10)分、(79.31±5.14)分,差异均有统计学意义(P<0.05);研究组患者中Neer评分分级为优者为40.00%,明显高于对照组的16.67%,差异有统计学意义(P<0.05);研究组患者术后6个月的并发症总发生率为3.33%,明显低于对照组的20.00%,差异有统计学意义(P<0.05)。结论采用桥接内固定系统治疗肩胛骨体部及颈部骨折具有显著的临床疗效,其具有手术时间短、愈合速度快、肩关节恢复较好、并发症发生率低等优点,值得临床推广应用。Objective To study the effect of bridging internal fixation system and plate internal fixation in the treatment of scapular body and neck fractures.Methods From December 2015 to December 2020,60 patients with scapular body and neck fractures in Shenzhen Fuyong People's Hospital were selected as the research objects and randomly divided into study group and control group,with 30 cases in each group.The study group was treated with bridging internal fixation system,and the control group was treated with plate fixation.The clinical indexes,shoulder joint function,and complications of the two groups were compared.Results The intraoperative time,fracture healing time,and hospital stay of the study group were(32.55±8.21)min,(10.52±1.20)weeks,and(9.32±1.02)days,which were significantly shorter than(40.26±6.39)min,(13.20±1.51)weeks,and(13.05±1.27)days of the control group(P<0.05);the intraoperative blood loss of the study group was(40.21±5.74)mL,which was significantly lower than(53.06±6.31)mL of the control group(P<0.05).The Constant-Murley score and Neer score at 6 months after operation were(86.32±4.12)points and(88.16±5.36)points in the study group,which were significantly higher than(80.21±5.10)points and(79.31±5.14)points in the control group(P<0.05).In the study group,the proportion of patients with excellent Neer score was 40.00%,significantly higher than 16.67%in the control group(P<0.05).The incidence of postoperative complications in the study group was 3.33%,significantly lower than 20.00%in the control group(P<0.05).Conclusion In patients with scapular body and neck fracture,the bridge internal fixation system has significant clinical effect,short operation time,fast healing,good shoulder joint recovery,low incidence of complications,which is worthy of clinical application.

关 键 词：桥接内固定系统 钢板内固定 肩胛骨骨折 肩关节功能 并发症 

分 类 号：R683[医药卫生—骨科学]