单、双空心螺钉治疗肩胛骨喙突骨折疗效比较  

Comparison of clinical effects in the treatment of fractures of coracoid process using single and double cannulated screws

作　　者：朱和平 王勇 王强 沈磊 张盘军 Zhu Heping;Wang Yong;Wang Qiang;Shen Lei;Zhang Panjun(Department of Orthopedics,the Affiliated Yixing Hospital of Jiangsu University,Yixing 214200,China)

机构地区：[1]江苏大学附属宜兴医院骨科,宜兴214200

出　　处：《中华实验外科杂志》2024年第2期390-393,共4页Chinese Journal of Experimental Surgery

基　　金：无锡市第二届双百中青年医疗卫生拔尖人才项目(BJ2023106)。

摘　　要：目的比较单枚与双枚空心螺钉治疗肩胛骨喙突骨折的临床疗效。方法 2018年3月至2023年6月宜兴市人民医院收治25例肩胛骨喙突骨折, 所有病例均行切开复位内固定术。按喙突固定方式分为单螺钉组和双螺钉组, 单螺钉组:男11例, 女2例, 平均年龄44(31~62)岁, 双螺钉组:男9例, 女3例, 平均年龄45(19~61)岁, 比较两组手术时间、出血量、住院时间、骨愈合时间、末次随访视觉模拟评分(VAS)和Constant评分的差异。采用t检验、非参数检验和Fisher精确概率法进行统计分析。结果单螺钉组手术时间短于双螺钉组[96(70~140) min比125(95~150) min, Z=-2.623, P<0.05]。单螺钉组与双螺钉组在出血量[95(30~200) ml比124(75~200) ml, Z=-1.710, P>0.05]、住院时间[(14±2) d比(13±2) d, t=0.902, P>0.05]、骨愈合时间[(17±2)周比(16±2)周, t=1.761, P>0.05]、末次随访VAS评分[0.5(0~3)比0.5(0~2), Z=-0.413, P>0.05]和末次Constant评分[96(87~100)比95(90~100), Z=-0.664, P>0.05]等方面比较, 差异无统计学意义。结论采用单枚和双螺空心螺钉治疗肩胛骨喙突骨折的临床疗效相似, 与双螺钉比, 单枚空心螺钉固定所用手术时间更短。Objective To compare the clinical effects in the treatment of fractures of coracoid process using single and double cannulated screws.Methods Totally,25 patients with coracoid fractures were admitted to Department of Orthopedics of Yixing People’s Hospital from March 2018 to June 2023.All cases underwent open reduction and internal fixation.In terms of the fixation methods of the coracoid,11 males and 2 females with age of 44 years(range,31-62),and 9 males and 3 females with age of 45 years(range,19-61)were divided into single screw group(SSG)and double screws group(DSG),respectively.The operative time,blood loss,time of hospitalization,time of bone union,visual analog scale(VAS)score and Constant score were compared at the last follow-up between two groups.T test,non-parametric test and Fisher’s exact method were used for data analysis.Results The operative time in SSG was shorter than in DSG[96(70-140)min vs.125(95-150)min,Z=-2.623,P<0.05].There were no significant differences between two groups in blood loss[95(30-200)ml vs.124(75-200)ml,Z=-1.710,P>0.05],time of hospitalization[(14±2)d vs.(13±2)d,t=0.902,P>0.05],time of bone union[(17±2)weeks vs.(16±2)weeks,t=1.761,P>0.05],VAS score[0.5(0-3)vs.0.5(0-2),Z=-0.413,P>0.05]and the Constant score[96(87-100)vs.95(90-100),Z=-0.664,P>0.05]at the last follow-up.Conclusion There is no significant difference in clinical outcomes for treatment of coracoid fractures using single and double cannulated screws,however,fixation with single cannulated screws has shorter operative time than operation with double cannulated screws.

关 键 词：喙突骨折 骨折固定术 骨螺钉 疗效 

分 类 号：R687.3[医药卫生—骨科学]