经三角肌外侧小切口微创锚钉缝合技术治疗肱骨大结节骨折的效果及对术后疼痛程度、关节功能修复的影响  

Effect of minimally invasive anchor screw suture through small lateral deltoid incision in the treatment of fracture of greater tuberosity of humerus and its influences on postoperative pain and joint function repair

作　　者：蔡龙 郭建平 CAI Long;GUO Jianping(the First People's Hospital of Xianyang,Xianyang 712000,China)

机构地区：[1]咸阳市第一人民医院,陕西咸阳712000

出　　处：《临床医学研究与实践》2024年第24期74-77,共4页Clinical Research and Practice

摘　　要：目的探讨经三角肌外侧小切口微创锚钉缝合技术治疗肱骨大结节骨折的效果及对术后疼痛程度、关节功能修复的影响。方法选取2019年6月至2022年6月我院收治的100例肱骨大结节骨折患者为研究对象,以随机数字表法将其分为对照组和观察组,各50例。对照组采取经三角肌-胸大肌间沟入路锁定钢板内固定,观察组采取经三角肌外侧小切口微创锚钉缝合技术。比较两组的治疗效果。结果观察组的治疗优良率高于对照组(P<0.05)。术后1 d,观察组的P物质(SP)、前列腺素E_(2)(PGE_(2))、缓激肽(BK)水平低于对照组(P<0.05)。术后6个月,观察组的肩关节屈曲、外展、外旋活动度均大于对照组(P<0.05)。术后6个月,观察组的Constant-Murley肩关节功能评分高于对照组(P<0.05)。观察组的不良事件总发生率低于对照组(P<0.05)。结论经三角肌外侧小切口微创锚钉缝合技术治疗肱骨大结节骨折效果显著,可减轻患者术后疼痛程度,促进关节功能修复,提高手术安全性,值得推广。Objective To explore the effect of minimally invasive anchor screw suture through small lateral deltoid incision in the treatment of fracture of greater tuberosity of humerus and its influences on postoperative pain and joint function repair.Methods A total of 100 patients with fracture of greater tuberosity of humerus admitted in our hospital from June 2019 to June 2022 were selected as the research objects.The patients were divided into control group and observation group by random number table method,with 50 cases in each group.The control group was treated with locking plate internal fixation through deltoid-pectoral interscalene approach,and the observation group was treated with minimally invasive anchor screw suture through small lateral deltoid incision.The therapeutic effects of the two groups were compared.Results The excellent and good rate of treatment in the observation group was higher than that in the control group(P<0.05).One day after operation,the levels of substance P(SP),prostaglandin E_(2)(PGE_(2))and bradykinin(BK)in the observation group were lower than those in the control group(P<0.05).At 6 months after operation,the flexion,abduction and external rotation of shoulder joint in the observation group were greater than those in the control group(P<0.05).At 6 months after operation,the Constant-Murley shoulder function score of the observation group was higher than that of the control group(P<0.05).The total incidence of adverse events in the observation group was lower than that in the control group(P<0.05).Conclusion The minimally invasive anchor screw suture through small lateral deltoid incision has significant effect in the treatment of fracture of greater tuberosity of humerus,it can reduce the degree of postoperative pain,promote the repair of joint function and improve the safety of operation,which is worth promoting.

关 键 词：三角肌外侧小切口 微创锚钉缝合技术 肱骨大结节骨折 疼痛 关节功能 

分 类 号：R687.3[医药卫生—骨科学]