不同术式在腋窝入路肩胛盂前缘骨折复位固定中的临床疗效  

Clinical Efficacy of Different Surgical Methods in Reduction and Fixation of Anterior Scapular Glenoid Fracture through Axillary Approach

作　　者：高亮亮 邹士东 张寒 包忠胜 聂文波[1] Gao Liang-liang;Zou Shi-dong;Zhang Han;Bao Zhong-sheng;Nie Wen-bo(Department of Orthopedics,Shanxian Central Hospital,Heze 274300,Shandong Province,China)

机构地区：[1]单县中心医院骨科,山东菏泽274300

出　　处：《中外医药研究》2022年第8期15-17,共3页JOURNAL OF CHINESE AND FOREIGN MEDICINE AND PHARMACY RESEARCH

摘　　要：目的:分析空心螺钉固定术与桡骨远端钢板固定术在腋窝入路肩胛盂前缘骨折复位固定中的临床疗效。方法:选取2019年1月-2022年1月单县中心医院骨科收治的肩胛盂前缘骨折患者60例为观察对象,按照随机数字表法分为对照组与观察组,各30例。观察组给予空心螺钉固定术治疗,对照组给予桡骨远端钢板固定术治疗,比较两组患者肢体运动功能(FMA)评定量表评分、Constant-Murley评分、并发症发生率。结果:治疗后,两组患者上下肢FMA及Constant-Murley评分均升高,观察组高于对照组,差异有统计学意义(P<0.05);观察组并发症发生率低于对照组,差异有统计学意义(P<0.05)。结论:空心螺钉固定术在腋窝入路肩胛盂前缘骨折复位固定中的临床疗效优于桡骨远端钢板固定术,前者可明显改善患者肢体及肩关节功能,降低并发症发生率。Objective:To analyze the clinical efficacy of cannulated screw fixation and distal radius plate fixation in reduction and fixation of anterior scapular glenoid fractures through axillary approach.Methods:From January 2019 to January 2022,60 patients with anterior scapular glenoid fractures in the Department of Orthopaedics of Shanxian Central Hospital were selected as observation objects,and were divided into control group and observation group according to random number table,with 30 cases in each group.The observation group was treated with cannulated screw fixation,and the control group was treated with distal radius plate fixation.The limb motor function(FMA)scale score,constant-Murley score and complication rate were compared between the two groups.Results:After treatment,the FMA and Constant-Murley scores of upper and lower extremities increased in both groups,and the scores were higher in the observation group than those in the control group,and the difference was statistically significant(P<0.05).The incidence of complications was lower in the observation group than in the control group,and the difference was statistically significant(P<0.05).Conclusion:Cannulated screw fixation is superior to distal radius plate fixation in the reduction and fixation of anterior scapular fracture through axillary approach.The former can significantly improve limb and shoulder function and reduce the incidence of complications.

关 键 词：腋窝入路 肩胛盂前缘骨折 空心螺钉 桡骨远端钢板固定 

分 类 号：R68[医药卫生—骨科学]