| 李坤,刘云鹏.两种入路治疗肩胛骨骨折的效果及对肩关节功能恢复的影响.[J].中南医学科学杂志.,2020,(3):304-306, 319. |
| 两种入路治疗肩胛骨骨折的效果及对肩关节功能恢复的影响 |
| Effect of two approaches for scapular fracture and its effect on shoulder joint function recovery |
| 投稿时间：2019-01-14 修订日期：2020-03-24 |
| DOI：10.15972/j.cnki.43-1509/r.2020.03.020 |
| 中文关键词: 肩胛骨外侧缘入路手术 Judet入路手术 肩胛骨骨折 肩关节功能 |
| 英文关键词:scapular lateral approach judet approach scapular fracture shoulder joint function |
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| 中文摘要: |
| 为探讨肩胛骨外侧缘入路手术与Judet入路手术在肩胛骨骨折治疗中的应用效果,将本院确诊收治的78例单侧肩关节骨骨折患者,分别给予肩胛骨外侧缘切口辅助Judet入路手术内固定治疗(A组)和肩胛骨外侧缘入路手术治疗(B组)。采用Constant评份评估关节功能恢复情况。结果显示,与B组比较,A组患者的手术时间、手术出血量均显著降低；术后3个月、术后6个月,疼痛、肌力、日常活动、关节活动范围均显著改善。两组手术并发症率无差异。结果说明,肩胛骨外侧缘切口辅助Judet入路手术内固定较单纯的肩胛骨外侧缘切口入路治疗肩胛骨骨折具有术后恢复更快、术后肩关节功能恢复的更好。 |
| 英文摘要: |
| To investigate the effect of lateral scapula approach and Judet approach in the treatment of scapular fractures. A total of 78 patients with unilateral shoulder fractures diagnosed in our hospital were selected and teated with the scapula lateral margin incision assisted Judet approach internal fixation treatment (A group) and the scapula lateral margin approach surgery (B group) respectively. The constant score was used to assess the functional recovery of joint. The results showed that compared with group B, the operation time and the amount of surgical bleeding were significantly reduced in group A; pain, muscle strength, daily activity, range of joint activity were significant improved at 3 and 6 months after operation. There was no difference in surgical complications between the two groups. The results indicate that the internal fixation of the lateral scapula incision assisted with Judet approach for internal fixation has a faster postoperative recovery and better functional recovery of the shoulder joint after a simple scapular lateral incision approach. |
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