目的:探讨应用改良肩关节外侧入路结合锁定加压接骨板固定技术治疗成人肱骨近端骨折的临床效果。方法:自2015年8月—2019年5月南通大学附属南通第三医院骨科收治40例年龄≤65岁的新鲜成人肱骨近端骨折患者,其中微创组20例,采用改良肩关...目的:探讨应用改良肩关节外侧入路结合锁定加压接骨板固定技术治疗成人肱骨近端骨折的临床效果。方法:自2015年8月—2019年5月南通大学附属南通第三医院骨科收治40例年龄≤65岁的新鲜成人肱骨近端骨折患者,其中微创组20例,采用改良肩关节外侧入路;常规组20例,采用传统三角肌胸大肌入路。比较两组患者手术时间、术中出血量、骨折愈合时间、术中及术后并发症,以及术后1、3个月和末次随访时肩关节Constant-Murley功能评分、美国肩肘外科医师(American shoulder and elbow surgeons,AESE)结果评分。结果:两组患者的平均随访时间分别为(15.3±1.1)、(16.2±2.2)个月,差异无统计学意义(P>0.05)。微创组术中出血量、手术时间、骨折愈合时间均明显优于常规组(均P<0.05)。术后1、3个月微创组患者Constant-Murley评分[(55.8±5.3)、(82.0±4.8)分],AESE评分[(60.7±5.0)、(75.1±5.7)分]均优于常规组Constant-Murley评分[(40.3±5.1)、(78.1±6.9)分],AESE评分[(52.3±6.1)、(71.4±13.2)分](均P<0.05)。但末次随访时微创组患者Constant-Murley评分、AESE评分[(85.6±5.1)、(83.4±12.2)分]与常规组[(84.7±5.2)、(82.8±11.0)分]比较差异无统计学意义(P>0.05)。常规组术中出现头静脉损伤2例。两组均未发生腋神经损伤、复位丢失、骨不连、肱骨头坏死等并发症。结论:应用改良肩关节外侧入路结合锁定加压接骨板固定技术治疗成人肱骨近端骨折在手术创伤、肩关节功能恢复方面较传统入路具有明显优势。展开更多
The combination of fluorescent imaging and magnetic resonance imaging（MRI） techniques has attracted intense attention due to the complementary imaging ability of the two modalities. Optical imaging, especially fluor...The combination of fluorescent imaging and magnetic resonance imaging（MRI） techniques has attracted intense attention due to the complementary imaging ability of the two modalities. Optical imaging, especially fluorescence imaging, has good sensitivity, but poor tissue penetration ability, while MRI offers anatomical details and 3D information of soft tissue with high quality in a non-invasive manner. Therefore, MRI/fluorescence dual-imaging technique should have exciting clinical potential in some application fields.展开更多
文摘目的:探讨应用改良肩关节外侧入路结合锁定加压接骨板固定技术治疗成人肱骨近端骨折的临床效果。方法:自2015年8月—2019年5月南通大学附属南通第三医院骨科收治40例年龄≤65岁的新鲜成人肱骨近端骨折患者,其中微创组20例,采用改良肩关节外侧入路;常规组20例,采用传统三角肌胸大肌入路。比较两组患者手术时间、术中出血量、骨折愈合时间、术中及术后并发症,以及术后1、3个月和末次随访时肩关节Constant-Murley功能评分、美国肩肘外科医师(American shoulder and elbow surgeons,AESE)结果评分。结果:两组患者的平均随访时间分别为(15.3±1.1)、(16.2±2.2)个月,差异无统计学意义(P>0.05)。微创组术中出血量、手术时间、骨折愈合时间均明显优于常规组(均P<0.05)。术后1、3个月微创组患者Constant-Murley评分[(55.8±5.3)、(82.0±4.8)分],AESE评分[(60.7±5.0)、(75.1±5.7)分]均优于常规组Constant-Murley评分[(40.3±5.1)、(78.1±6.9)分],AESE评分[(52.3±6.1)、(71.4±13.2)分](均P<0.05)。但末次随访时微创组患者Constant-Murley评分、AESE评分[(85.6±5.1)、(83.4±12.2)分]与常规组[(84.7±5.2)、(82.8±11.0)分]比较差异无统计学意义(P>0.05)。常规组术中出现头静脉损伤2例。两组均未发生腋神经损伤、复位丢失、骨不连、肱骨头坏死等并发症。结论:应用改良肩关节外侧入路结合锁定加压接骨板固定技术治疗成人肱骨近端骨折在手术创伤、肩关节功能恢复方面较传统入路具有明显优势。
基金Supported by the National Natural Science Foundation of China（Nos.21373097, 51072067）.
文摘The combination of fluorescent imaging and magnetic resonance imaging（MRI） techniques has attracted intense attention due to the complementary imaging ability of the two modalities. Optical imaging, especially fluorescence imaging, has good sensitivity, but poor tissue penetration ability, while MRI offers anatomical details and 3D information of soft tissue with high quality in a non-invasive manner. Therefore, MRI/fluorescence dual-imaging technique should have exciting clinical potential in some application fields.
