肩胛骨骨折手术治疗的临床疗效分析

Analysis of the Clinical Effect of Surgical Treatment of Scapula Fractures

目的探讨肩胛骨骨折采用手术治疗或保守治疗的临床疗效。方法回顾性分析2018年9月至2020年1月期间由泰州市中医院骨伤科收治的35例肩胛骨骨折的患者。根据最终的纳入标准选取入组患者30例,总计约8~14个月回访时间,平均10.8个月。根据肩胛骨骨折移位情况而采取的不同治疗方式分为两组,其中行保守治疗17例,手术治疗13例。收集患者基本信息、具体伤情,住院时间,伤后骨折愈合情况,治疗后行肩关节Constant-Murley评分,将数据进行统计学分析。结果经影像学诊断所有患者肩胛骨均已骨性愈合,治疗后三个月内肩关节功能评分,P<0.05。六个月肩关节功能评分,P>0.05。结论肩胛骨骨折进行手术治疗对于伤后早期肩关节功能恢复具有明显优势。

Objective To investigate the clinical effect of surgical treatment or conservative treatment of scapula fractures.Methods A retrospective analysis of 35 patients with scapula fractures admitted to the Department of Orthopedics and Traumatology of Taizhou Hospital of Traditional Chinese Medicine from September 2018 to January 2020 was made.According to the final inclusion criteria,30 patients were selected for enrollment,with a total return visit time of about 8-14 months,with an average of 10.8 months.The patients were divided into two groups according to the different treatment methods adopted by the displacement of the scapula fracture.Among them,17 cases were treated conservatively and 13 cases were treated surgically.The basic information of the patients,the specific injury,the length of hospitalization,and the healing of the fracture after the injury were collected.After the treatment,the Constant-Murley score of the shoulder joint was performed,and the data was analyzed statistically.Results The scapula of all patients was diagnosed by imaging to have bony union.The shoulder joint function score within three months after treatment,P<0.05.The six-month shoulder function score,P>0.05.Conclusion Surgical treatment of scapula fracture has obvious advantages for the recovery of shoul⁃der joint function in the early post-injury period.