| 摘要: |
| ［摘要］ 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。 |
| 关键词: 肱骨骨折 手术 预后 肩关节 微创 |
| DOI：10.3969/j.issn.1674-3806.2015.06.19 |
| 分类号:R 683 |
| 基金项目: |
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| Two different incisions for the surgical treatment of humeral surgical neck fractures |
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ZHAO Jin-zhao, ZHANG Hong-lu, SUN Jian
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Department of Surgery, Traditional Chinese Medicine Hospital of Dezhou, Shandong 253000, China
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| Abstract: |
| ［Abstract］ Objective To compare the minimally invasive inner and outer shoulder incisions for the treatment of humeral surgical neck fractures and their prognoses.Methods 120 patients with humeral surgical neck fractures 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. |
| Key words: Humeral fractures Surgery Prognosis Shoulder Minimally invasive |
