肩胛骨骨折的治疗

Treatment of scapular fracture

目的探讨肩胛骨骨折的治疗方法及疗效。方法48例肩胛骨骨折患者,18例采取保守治疗,30例手术内固定治疗,对两种治疗方法的疗效进行统计学分析。结果45例患者获随访,随访时间55d～30个月。根据Hardegger功能评定标准,保守治疗组:优7例,良8例,可3例;手术治疗组:3例失访,优17例,良7例,可3例。两组治疗结果比较差异无显著性(P>0.05)。结论对肩胛骨骨折进行正确分型,充分了解骨折移位情况,正确掌握手术适应证,两种治疗方法均能获得满意疗效。

Objective To investigate the treatment method and effect of scapular fracture. Methods 48 cases were enrolled, of which 18 cases were treated conservatively, and 30 were undergone surgical internal fixation. The results were analyzed statistically. Results 45 cases were followed up for 55 days - 30 months, while 3 were missed. According to Hardegger function evaluation system, in conservative group, the results were excellent in 7 cases, good in 8 and fair in 3 ; In surgical group, the results were excellent in 17 cases, good in 7 and fair in 3. There was no significant difference between the two groups （ P 〉 0. 05）. Conclusions With proper classification, complete understanding of fragments displacement, and correction indication selection, both of the two procedures can provide satisfactory outcome.