| 漂浮肩不同治疗方式的疗效评价 |
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投稿时间：2016-04-15
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| 作者 | Author | 单位 | Address | E-Mail |
| 周青 |
ZHOU Qing |
上海交通大学医学院附属苏州九龙医院骨科, 江苏 苏州 215021 |
Department of Orthopaedics, Suzhou Kowloom Hospital, Medical College of Shanghai Jiaotong University, Suzhou 215021, Jiangsu, China |
kingzq86@163.com |
| 李坤 |
LI Kun |
上海交通大学医学院附属苏州九龙医院骨科, 江苏 苏州 215021 |
Department of Orthopaedics, Suzhou Kowloom Hospital, Medical College of Shanghai Jiaotong University, Suzhou 215021, Jiangsu, China |
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| 陈波 |
CHEN Bo |
上海交通大学医学院附属苏州九龙医院骨科, 江苏 苏州 215021 |
Department of Orthopaedics, Suzhou Kowloom Hospital, Medical College of Shanghai Jiaotong University, Suzhou 215021, Jiangsu, China |
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| 周耀东 |
ZHOU Yao-dong |
上海交通大学医学院附属苏州九龙医院骨科, 江苏 苏州 215021 |
Department of Orthopaedics, Suzhou Kowloom Hospital, Medical College of Shanghai Jiaotong University, Suzhou 215021, Jiangsu, China |
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| 陈豪 |
CHEN Hao |
上海交通大学医学院附属苏州九龙医院骨科, 江苏 苏州 215021 |
Department of Orthopaedics, Suzhou Kowloom Hospital, Medical College of Shanghai Jiaotong University, Suzhou 215021, Jiangsu, China |
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| 王振 |
WANG Zhen |
上海交通大学医学院附属苏州九龙医院骨科, 江苏 苏州 215021 |
Department of Orthopaedics, Suzhou Kowloom Hospital, Medical College of Shanghai Jiaotong University, Suzhou 215021, Jiangsu, China |
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| 刘进炼 |
LIU Jin-lian |
上海交通大学医学院附属苏州九龙医院骨科, 江苏 苏州 215021 |
Department of Orthopaedics, Suzhou Kowloom Hospital, Medical College of Shanghai Jiaotong University, Suzhou 215021, Jiangsu, China |
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| 期刊信息：《中国骨伤》2016年，第29卷，第9期，第847-852页 |
| DOI：10.3969/j.issn.1003-0034.2016.09.015 |
| 基金项目: |
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中文摘要:
目的：探讨采用非手术治疗、手术固定锁骨、手术固定锁骨和肩胛骨3种不同方式治疗漂浮肩的临床疗效。
方法：对2006年2月至2014年8月56例采用3种不同方式治疗漂浮肩患者的临床疗效行回顾性分析：其中A组12例，男7例，女5例，平均年龄（45.08±13.47）岁，均采用非手术治疗法；B组29例，男18例，女11例，平均年龄（37.28±10.43）岁，均采用手术治疗单独固定锁骨法；C组15例，男11例，女4例，平均年龄（36.20±9.50）岁，均采用手术治疗固定锁骨和肩胛骨法。分别采用Herscovici标准和Constant-Murley肩关节评分对3种不同方式治疗后的肩关节功能进行评分，并对3组患者术后的临床疗效进行分析。
结果：B组患者的手术时间、术中出血量均少于C组（P=0.000）。分别采用Herscovici标准和Constant-Murley肩关节评分比较3种方式治疗漂浮肩患者的临床疗效，A组与B组、A组与C组的临床疗效差异有统计学意义（P=0.000），B组与C组的临床疗效差异无统计学意义。
结论：手术治疗对漂浮肩损伤患者的肩关节功能恢复有明显优势，且单独固定锁骨风险更低。 |
| 【关键词】肩胛骨 锁骨 骨折 肩关节 |
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| Comparative study on curative effects of different methods for the treatment of the“floating shoulder injuries” |
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ABSTRACT
Objective: To investigate the clinical curative effects of different methods for the treatment of"floating shoulder injuries".
Methods: A total of 56 patients with "floating shoulder injuries" from February 2006 to August 2014 were enrolled in the study,including 12 patients[7 males and 5 females with an average age of(45.08±13.47)years old]treated by non-operation (group A),29 patients[18 males and 11 females with an average age of(37.28±10.43) years old]treated by internal plate fixation of the fracture of the clavicle(group B),15 patients(11 males,4 females; average age of 36.20±9.50 years) treated by internal plate fixation of the fracture of the clavicle and the scapular(group C). Functional outcomes of injured shoulder joints were assessed using Herscovici and Constant-Murley Shoulder Outcome score.
Results: There was a significant difference on operative time and intra-operative blood loss between group B and group C(P=0.000). There were significant differences of functional outcomes among three groups(P=0.000). The shoulder joint function of group A and group B,group A and group C were significantly different(P=0.000),while there was no significant difference between Group B and Group C.
Conclusion: Operation treatment for"floating shoulder injuries"has obvious advantages for the functional recovery of shoulder joint,and the risk for the single fixation treatment of clavicle is lower. |
| KEY WORDS Scapula Clavicle Fractures Shoulder joint |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 周青,李坤,陈波,周耀东,陈豪,王振,刘进炼.漂浮肩不同治疗方式的疗效评价[J].中国骨伤,2016,29(9):847~852 |
| 英文格式: | ZHOU Qing,LI Kun,CHEN Bo,ZHOU Yao-dong,CHEN Hao,WANG Zhen,LIU Jin-lian.Comparative study on curative effects of different methods for the treatment of the“floating shoulder injuries”[J].zhongguo gu shang / China J Orthop Trauma ,2016,29(9):847~852 |
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