论著 Original Article

后侧微创入路内固定技术在肩胛骨骨折患者中的应用价值分析

Published at: 2016年第36卷第9期

何伟平 1 , 邓寿华 1 , 钟克宣 1 , 杨耿华 1
1 东莞市大岭山医院骨科,广东 东莞 523820
通讯作者 伟平 何 Email: pint87654@163.com
DOI: 10.3978/j.issn.2095-6959.2016.09.016
基金:

摘要

目的:探究后侧微创入路内固定技术在肩胛骨骨折患者中的应用价值。方法:随机选取在2010年4月至2015年6月期间在我院接收治疗的肩胛骨骨折患者42例作为该研究的对象,观察组患者21例,选择微创后入路内固定术进行治疗,对照组患者21例,选择Judet入路内固定术进行治疗。治疗结束后对患者的术后关节功能Constant评分、术后不良反应、术中出血量、手术时间、切口总长度等进行比较和分析。结果:对照组患者的切口长度、手术出血量以及手术时间与观察组的患者相比较明显较多,各项数据组间比较具有统计学的意义(P<0.05);治疗完成后观察组患者的总有效率为95.24%,对照组患者的总有效率为71.43%,两组患者有效率组间比较具有统计学的意义(P<0.05);观察组患者的不良反应率为0.00%例,对照组患者的总不良反应率为38.10%例,组间比较具有显著差异,组间差异具有统计学的意义(P<0.05)。结论:微创后入路治疗肩胛骨骨折创伤小、操作简单、恢复快、不良反应少,值得推广。


Minimally invasive posterior approach internal fixation technique in the analysis of application value in patients with scapular fracture

Abstract

Objective: To explore and analysis the application value of the minimally invasive posterior approach internal fixation technique in patients with scapular fracture. Methods: From April 2010 to June 2015, randomly selected 42 patients with scapular fracture who were treated in our hospital, and randomly divided into two groups, 21 cases in observation group were treated with minimally invasive into the posterior internal fixation, 21 cases in control group were treated with choice Judet posterior internal fixation. After treatment, the postoperative constant score, postoperative adverse reaction, intraoperative bleeding volume, operation time, incision length were analyzed and compared. Results: Compared with observation group, the incision length, bleeding volume and operation time in control group were apparently better, the data between the groups were statistically significance (P<0.05); after treatment, the total effective rate in observation group was 95.24%, and in control group was 71.43%, the efficiency between the two groups was statistically significance (P<0.05); the adverse reaction rate in observation group was 0.00%, and in control group was 38.10%, the difference between the two groups had statistical significance (P<0.05). Conclusion: For patients with scapular fracture, the minimally invasive approach treatment with small trauma, simple operation, quick recovery, less adverse reactions, and it is worth promoting.


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引用

引用本文: 伟平 何, 寿华 邓, 克宣 钟, 耿华 杨. 后侧微创入路内固定技术在肩胛骨骨折患者中的应用价值分析[J]. 临床与病理杂志, 2016, 36(9): 1327-1331.
Cite this article as: HE Weiping, DENG Shouhua, ZHONG Kexuan, YANG Genghua . Minimally invasive posterior approach internal fixation technique in the analysis of application value in patients with scapular fracture[J]. Journal of Clinical and Pathological Research, 2016, 36(9): 1327-1331.