肩胛骨外侧缘入路治疗肩胛骨骨折的临床效果及安全性观察  

Clinical effect and safety of lateral scapular approach for scapular fracture

作　　者：谭长龙 赵金柱 曲良 李鹏 陶春生 Tan Changlong;Zhao Jinzhu;Qu Liang;Li Peng;Tao Chunsheng(971 Hospital of the People's Liberation Army Navy,Qingdao,Shandong 266071,China)

机构地区：[1]中国人民解放军海军第九七一医院,山东青岛266071

出　　处：《青岛医药卫生》2024年第2期125-129,共5页Qingdao Medical Journal

摘　　要：目的观察分析肩胛骨外侧缘入路方式治疗肩胛骨骨折的效果以及安全性分析。方法纳入研究时间与研究对象范围是2016年1月至2021年1月的68例肩胛骨骨折患者,以治疗方法为差异分为观察组(34例)和对照组(34例),分别接受肩胛骨外侧缘入路手术治疗和传统Judet方法治疗,对比治疗效果。结果观察组与对照组的总有效率分别为94.1%和82.4%,术中出血量分别为(223.5±2.4)ml和(427.6±10.9)ml,手术时间分别为(80.5±7.8)min和(112.4±9.1)min,ASES疼痛评分(31.3±1.0)和(23.4±2.1)分,稳定评分(32.9±0.8)和(27.3±1.1),功能评分为(25.7±0.5)分和(20.1±1.0)分,VAS评分分别为(0.8±0.2)与(1.6±0.4)分,DASH评分为(18.4±6.2)和(26.6±7.1)分,差异显著(P<0.05)。另外,观察组患者的肩关节活动度上举、外展、外旋与内旋与对照组差异也显著,有统计学意义(P<0.05)。结论对于肩胛骨骨折患者而言,采用肩胛骨外侧缘入路治疗的方式,治疗效果明显优于传统治疗方法,可以帮助减少手术时间和术中出血量,改善整体治疗效果,在临床上具有推广应用价值。Objective To observe and analyze the effectiveness and safety of the surgical approach via the lateral margin of the scapula in the treatment of scapular fractures.Methods Sixty-eight patients with scapular fractures treated between January 2016 and January 2021 were included in this study.They were divided into an observation group(34 cases)and a control group(34 cases)based on their treatment methods.The observation group received surgical treatment via the lateral margin of the scapula,while the control group underwent traditional Judet method.The treatment outcomes were compared between the two groups.Results The total effective rates in the observation group and the control group were 94.1%and 82.4%,respectively.The intraoperative blood loss was(223.5±2.4)ml and(427.6±10.9)ml,respectively.The operation time was(80.5±7.8)min and(112.4±9.1)min,respectively.The ASES pain scores were(31.3±1.0)and(23.4±2.1),respectively.The stability scores were(32.9±0.8)and(27.3±1.1),respectively.The functional scores were(25.7±0.5)and(20.1±1.0),respectively.The VAS scores were(0.8±0.2)and(1.6±0.4),respectively.The DASH scores were(18.4±6.2)and(26.6±7.1),respectively.All the differences were statistically significant(P<0.05).In addition,there were significant differences in the range of motion of shoulder joints,including abduction,external rotation,and internal rotation,between the observation group and the control group(P<0.05).Conclusion For patients with scapular fractures,the surgical approach via the lateral margin of the scapula is superior to traditional treatment methods in terms of effective-ness.It can help reduce operation time and intraoperative blood loss,and improve the overall treatment outcomes.Therefore,it has clinical value for promotion and application.

关 键 词：肩胛骨骨折 肩胛骨外侧缘入路 效果 安全性 

分 类 号：R683.4[医药卫生—骨科学]