应用解剖钛板与重建钛板治疗肩胛骨体部骨折的疗效对比  

Comparison of Anatomical Titanium Plate and Reconstructive Titanium Plate in Treatment of Scapular Body Fracture

作　　者：孙毓 李沫 曹阳 Sun Yu;Li Mo;Cao Yang(Department of Bone Trauma,the First Affiliated Hospital of Jinzhou Medical University,Jinzhou 121000 China)

机构地区：[1]锦州医科大学附属第一医院骨创伤科,辽宁锦州121000

出　　处：《锦州医科大学学报》2021年第5期62-65,78,共5页Journal of Jinzhou Medical University

基　　金：国家自然科学基金项目,项目编号:81471853。

摘　　要：目的比较解剖钛板与重建钛板治疗肩胛骨体部骨折的临床疗效。方法回顾性分析2018年5月至2020年5月在我院行肩胛骨体部骨折手术治疗并获得6个月以上随访的35例患者的临床资料。根据手术内固定物不同分为解剖钛板组(19例),重建钛板组(16例)。比较两组病人手术时间、手术出血量、术中X线投射次数、骨折愈合时间、Neer肩关节功能评分及术后并发症的情况。结果35例患者均获随访,随访时间为平均(8±2)个月。两组在骨折愈合时间、术后并发症发生率、术中X线投射次数及Neer肩关节功能评分方面差异无统计学意义(P>0.05)。两组在手术时间及手术出血量方面差异有统计学意义(P<0.05)。结论应用解剖钛板治疗肩胛骨体部骨折的手术时间更短,术中出血量更少,术中X线投射次数更少,提高了临床上肩胛骨体部骨折的手术质量。Objective To compare the clinical effect of anatomical titanium plate and reconstructive titanium plate in the treatment of scapular body fracture.Methods The clinical data of 35 patients who received surgical treatment for scapular body fracture in our hospital from May 2018 to May 2020 followed up for more than 6 months were retrospectively analyzed.According to different internal fixation materials,the patients were divided into anatomic titanium plate group(19 cases)and reconstructive titanium plate group(16 cases).The operative time,blood loss,times of X ray projection,fracture healing time,Neer shoulder function score and postoperative complications were compared between the two groups.Results All of the 35 patients were followed up for an average of 8±2 months.There were no statistically significant differences in fracture healing time,incidence of postoperative complications,times of X-ray projection and Neer shoulder function score between the two groups(P>0.05).There were statistically significant differences in operative time and blood loss between the two groups(P<0.05).Conclusion The application of anatomic titanium plate in the treatment of scapular body fracture can shorten the operative time,reduce blood loss and the times of X-ray projection,thus improving the surgical quality of scapular body fracture.

关 键 词：解剖钛板 重建钛板 肩胛骨体部骨折 

分 类 号：R683.4[医药卫生—骨科学]