经三角肌微创入路锁定钢板内固定术对肱骨近端骨折患者肩关节功能及并发症的影响  

Effect of Locking Plate Internal Fixation Via Deltoid Minimally Invasive Approach on Shoulder Joint Function and Complications in Patients with Proximal Humeral Fractures

作　　者：苏开波 SU Kaibo(Department of Orthopedics,Yantai Penglai People's Hospital,Yantai 265600,China)

机构地区：[1]烟台市蓬莱人民医院骨科,山东烟台265600

出　　处：《反射疗法与康复医学》2024年第11期102-105,共4页Reflexology And Rehabilitation Medicine

摘　　要：目的探讨经三角肌微创入路锁定钢板内固定术对肱骨近端骨折患者的效果。方法选取2021年10月—2023年10月烟台市蓬莱人民医院收治的86例肱骨近端骨折患者为研究对象,按随机数字表法将其分为观察组和对照组,各43例。对照组在传统入路下行锁定钢板内固定术,观察组在三角肌微创入路下行锁定钢板内固定术。对比两组的手术相关指标、肩关节功能、生活质量及并发症发生情况。结果观察组术中出血量为(159.76±18.63)mL,少于对照组的(203.95±23.41)mL,手术时间、住院时间、骨折愈合时间分别为(85.41±8.32)min、(10.05±2.09)d、(123.48±15.20)d,均短于对照组的(96.75±10.42)min、(12.46±2.71)d、(133.95±17.56)d,组间差异有统计学意义(P<0.05)。观察组并发症发生率为4.65%,低于对照组的18.60%,差异有统计学意义(P<0.05)。术后3个月,观察组Constant-Murley量表评分为(77.83±4.97)分,高于对照组的(68.97±4.35)分,生活质量综合评定问卷中躯体功能、心理功能、物质生活状态和社会功能评分分别为(81.25±5.32)分、(79.94±4.88)分、(78.87±4.63)分、(84.72±5.41)分,均高于对照组的(73.46±4.59)分、(70.56±4.12)分、(72.98±4.15)分、(76.35±4.98)分,组间差异有统计学意义(P<0.05)。结论经三角肌微创入路锁定钢板内固定术存在创伤小、并发症少等优势,可恢复肱骨近端骨折患者肩关节功能,改善生活质量,值得临床进行推广与应用。Objective To investigate the efficacy of locking plate fixation via deltoid minimally invasive approach in patients with proximal humeral fractures.Methods A total of 86 patients with proximal humerus fracture admitted to Yantai Penglai People's Hospital from October 2021 to October 2023 were selected as the research objects,and were divided into an observation group and a control group according to random number table method,with 43 cases in each group.The control group underwent locking plate internal fixation through the traditional approach,and the observation group underwent locking plate internal fixation through the deltoid minimally invasive approach.The operative indexes,shoulder joint function,quality of life and complications were compared between the two groups.Results The intraoperative blood loss in the observation group was(159.76±18.63)mL,which was less than(203.95±23.41)mL in the control group,the operative time,hospitalization time and fracture healing time were(85.41±8.32)min,(10.05±2.09)d and(123.48±15.20)d,respectively,which was shorter than(96.75±10.42)min,(12.46±2.71)d and(133.95±17.56)d in the control group,and the differences between groups were statistically significant(P<0.05).The complication rate of observation group was 4.65%,which was lower than 18.60%of the control group,and the difference was statistically significant(P<0.05).Three months after operation,the Constant-Murley Shoulder Scale score the observation group was(77.83±4.97)points,which was higher than(68.97±4.35)points of the control group,the Generic Quality of Life Inventory-74 scores of physical function,psychological function,material life status and social function were(81.25±5.32)points,(79.94±4.88)points,(78.87±4.63)points and(84.72±5.41)points,respectively,they were higher than(73.46±4.59)points,(70.56±4.12)points,(72.98±4.15)points,(76.35±4.98)points in the control group,and the differences between groups were statistically significant(P<0.05).Conclusion Locking plate internal fixation via deltoi

关 键 词：肱骨近端骨折 锁定钢板内固定术 并发症 生活质量 

分 类 号：R683[医药卫生—骨科学]