中国临床新医学
中國臨床新醫學
중국림상신의학
CHINESE JOURNAL OF NEW CLINICAL MEDICINE
2015年
6期
554-556
,共3页
肱骨骨折%手术%预后%肩关节%微创
肱骨骨摺%手術%預後%肩關節%微創
굉골골절%수술%예후%견관절%미창
Humeral fractures%Surgery%Prognosis%Shoulder%Minimally invasive
目的：观察肩关节内侧与外侧两种不同切口入路微创手术治疗肱骨外科颈骨折的预后。方法选择该院骨科2012-05～2014-05收治的120例肱骨外科颈骨折患者，采用随机数字表法分为肩关节前内侧切口微创入路组（对照组，n＝60）和肩外侧小切口微创入路组（观察组，n＝60），观察两组的手术疗效并进行比较。结果术后随访16个月，全部患者骨折愈合良好，切口无感染，旋肱血管和腋神经无损伤。观察组手术时间为（87.4±23.5）min，切口长度为（9.7±2.1）cm，出血量为（176.8±46.9）ml，肩关节功能评分为（93.8±31.4）分。对照组分别为（135.6±35.9）min、（16.4±4.2）cm、（334.9±67.8）ml和（85.6±22.1）分。两组组间比较差异均有统计意义（ P＜0.01）。结论采用肩外侧小切口微创入路手术治疗肱骨外科颈骨折，可缩短手术时间，恢复关节功能，对患者愈后的生活质量提高有重要意义。
目的：觀察肩關節內側與外側兩種不同切口入路微創手術治療肱骨外科頸骨摺的預後。方法選擇該院骨科2012-05～2014-05收治的120例肱骨外科頸骨摺患者，採用隨機數字錶法分為肩關節前內側切口微創入路組（對照組，n＝60）和肩外側小切口微創入路組（觀察組，n＝60），觀察兩組的手術療效併進行比較。結果術後隨訪16箇月，全部患者骨摺愈閤良好，切口無感染，鏇肱血管和腋神經無損傷。觀察組手術時間為（87.4±23.5）min，切口長度為（9.7±2.1）cm，齣血量為（176.8±46.9）ml，肩關節功能評分為（93.8±31.4）分。對照組分彆為（135.6±35.9）min、（16.4±4.2）cm、（334.9±67.8）ml和（85.6±22.1）分。兩組組間比較差異均有統計意義（ P＜0.01）。結論採用肩外側小切口微創入路手術治療肱骨外科頸骨摺，可縮短手術時間，恢複關節功能，對患者愈後的生活質量提高有重要意義。
목적：관찰견관절내측여외측량충불동절구입로미창수술치료굉골외과경골절적예후。방법선택해원골과2012-05～2014-05수치적120례굉골외과경골절환자，채용수궤수자표법분위견관절전내측절구미창입로조（대조조，n＝60）화견외측소절구미창입로조（관찰조，n＝60），관찰량조적수술료효병진행비교。결과술후수방16개월，전부환자골절유합량호，절구무감염，선굉혈관화액신경무손상。관찰조수술시간위（87.4±23.5）min，절구장도위（9.7±2.1）cm，출혈량위（176.8±46.9）ml，견관절공능평분위（93.8±31.4）분。대조조분별위（135.6±35.9）min、（16.4±4.2）cm、（334.9±67.8）ml화（85.6±22.1）분。량조조간비교차이균유통계의의（ P＜0.01）。결론채용견외측소절구미창입로수술치료굉골외과경골절，가축단수술시간，회복관절공능，대환자유후적생활질량제고유중요의의。
Objective To compare the minimally invasive inner and outer shoulder incisions for the treat-ment of humeral surgical neck fractures and their prognoses.Methods 120 patients with humeral surgical neck frac-tures were collected in our hospital from May 2012 to May 2014, and were divided into the control group( minimally invasive incision from the inside of the front shoulder, n=60) and the observation group(minimally invasive incision from the lateral shoulder, n=60).The clinical effects of the two groups were compared.Results An average follow-up of 15 months showed fractures healing in all patients, without incision infection and humeral circumflex artery or axillary nerve injury.The average operative time of the observation group(87.4 ±23.5) min was shorter than that of the control group (135.6 ±35.9)min.The incision of the observation group was (9.7 ±2.1)cm, which was shorter than that of the control group (16.4 ±4.2)cm.The blood loss of the observation group (176.8 ±46.9)ml was less than that of the control group (334.9 ±67.8)ml.The score of the observation group(93.8 ±31.4) was greater than that of the control group(85.6 ±22.1).All the differences between the two groups were statisticly significant(P<0.05).Conclusion The minimally invasive incision from the lateral shoulder for the treatment of humeral surgical neck fractures can shorten the operative time, restore the joint function, and improve the quality of life of patients.
