| 非手术与手术治疗肩胛骨骨折的临床对照研究 |
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Received:September 25, 2007
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| 作者 | Author | 单位 | Unit | E-Mail |
| 林山 |
LIN Shan |
解放军第一七五医院 厦门大学附属东南医院 全军骨科中心，福建 漳州 363000 |
Department of Orthopaedics,the 175th Hospital of PLA,Zhangzhou 363000,Fujian,China |
linshan351139@yahoo.com.cn |
| 练克俭 |
LIAN Ke-jian |
解放军第一七五医院 厦门大学附属东南医院 全军骨科中心，福建 漳州 363000 |
Department of Orthopaedics,the 175th Hospital of PLA,Zhangzhou 363000,Fujian,China |
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| 陈长青 |
CHEN Chang-qing |
解放军第一七五医院 厦门大学附属东南医院 全军骨科中心，福建 漳州 363000 |
Department of Orthopaedics,the 175th Hospital of PLA,Zhangzhou 363000,Fujian,China |
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| 翟文亮 |
ZHAI Wen-liang |
解放军第一七五医院 厦门大学附属东南医院 全军骨科中心，福建 漳州 363000 |
Department of Orthopaedics,the 175th Hospital of PLA,Zhangzhou 363000,Fujian,China |
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| 郭林新 |
GUO Lin-xin |
解放军第一七五医院 厦门大学附属东南医院 全军骨科中心，福建 漳州 363000 |
Department of Orthopaedics,the 175th Hospital of PLA,Zhangzhou 363000,Fujian,China |
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| 蔡弢艺 |
CAI Tao-yi |
解放军第一七五医院 厦门大学附属东南医院 全军骨科中心，福建 漳州 363000 |
Department of Orthopaedics,the 175th Hospital of PLA,Zhangzhou 363000,Fujian,China |
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| 期刊信息：《中国骨伤》2008年21卷，第2期，第91-93页 |
| DOI：doi:10.3969/j.issn.1003-0034.yyyy.nn.zzz |
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目的： 探讨非手术与手术治疗肩胛骨骨折的疗效并进行分析比较。
方法：肩胛骨骨折患者52例，男37例，女15例；年龄20～48岁，平均31岁。对其临床资料进行回顾性对比分析。根据Hardegger分型：肩胛骨体部骨折24例，外科颈骨折12例，解剖颈骨折3例，盂缘骨折6例，肩胛冈骨折7例。其中17例采用保守治疗；35例采用切开复位内固定治疗。随访时进行临床检查，摄肩胛骨正位X线片，测量盂极角(glenopolar angle,GPA).并采用Hardegger功能评定标准对两种治疗方法的疗效进行统计学比较分析。
结果：52例均经9～48周随访。Hardegger功能评定：非手术治疗组17例，优7例，良6例，可2例，差2例；GPA>20° 14例，<20° 3例。手术组35例，优20例，良12例，可3例；GPA> 20° 33例，<20° 2例。非手术组与手术组的治疗结果预后差异无统计学意义(P=0.27).
结论：处理肩胛骨骨折之前，首先行CT三维重建，全面了解骨折移位情况，正确掌握手术适应证，并进行早期功能锻炼，两种方法均可获得满意疗效。 |
| [关键词]:肩胛骨 骨折 骨折固定术 临床对照试验 |
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| Controlled clinical study of treatment of non-operation and surgical operation for scapular fracture |
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Abstract:
Objective: To investigate the effect of treatment methods of non-operation and surgical operation for scapular fracture.
Methods: A retrospective analysis of 52 patients(male 37,female 15,ranging in age from 20 to 48 years,meanly 31 years)with scapular fractures was done. According to Hardegger classification:the scapular body fracture in 24 cases,the surgical neck fracture in 12 cases,the anatomical neck fracture in 3 cases,the glenoidal lip fracture in 6 cases,the scapular spine fracrure in 7 cases. Of all 52 patients,17 cases were treated conservatively,and 35 were undergone surgical internal fixation. When followed up,the clinical examination was done and the X-ray films were taken to measure glenopolar angle (GPA). Hardegger function evaluation system was adopted. The results were analysed statiscally.
Results: Fifty-two cases were all followed up for 9 weeks to 48 months. Among 17 patients treated by non-operation,Hardegger function evaluation system showed that the result were excellent in 7 cases,good in 6,fair in 2 and poor in 2;the X-ray film results showed that there were 14 cases of GPA>20° and 3 cases of GPA<20°。 Of 35 patients treated by surgical operation,Hardegger function evaluation system showed that the result were excellent in 20 cases,good in 12 and fair in 3;the X-ray film results showed that there were 33 cases of GPA>20° and 2 cases of GPA<20°。 There was no significant difference between the two groups(P=0.27).
Conclusion: Before treatment of scapular fracture, with CT 3D-recontruction,complete understanding of fragments displacement,and correction indication selection,and perform early exercises,both of the two procedures can provide satisfactory outcome. |
| KEYWORDS:Scapular Fractures Fracture fixation Controlled clinical trials |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 林山,练克俭,陈长青,翟文亮,郭林新,蔡弢艺.非手术与手术治疗肩胛骨骨折的临床对照研究[J].中国骨伤,2008,21(2):91~93 |
| 英文格式: | LIN Shan,LIAN Ke-jian,CHEN Chang-qing,ZHAI Wen-liang,GUO Lin-xin,CAI Tao-yi.Controlled clinical study of treatment of non-operation and surgical operation for scapular fracture[J].zhongguo gu shang / China J Orthop Trauma ,2008,21(2):91~93 |
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