国际医药卫生导报2018，Vol.24Issue(1)：50-52,3.DOI:10.3760/cma.j.issn.1007-1245.2018.01.016
经扩展劈三角肌与经胸三角肌入路治疗肱骨近端骨折的临床观察
Clinical observation on extended deltoid approach and transthoracic deltoid approach for proximal humeral fracture
郭俊超 1刘军科 1周丽品 1杨亚娟 2王云云1
作者信息
- 1. 461000 许昌市人民医院骨科
- 2. 461000 许昌市人民医院供应室
- 折叠
摘要
Abstract
Objective To observe the clinical effect of extended deltoid approach and transthoracic deltoid approach in the treatment of proximal humeral fracture. Methods 76 cases of proximal humeral fracture in our hospital from September 2015 to February 2017 were divided into observation group (extended deltoid approach) and control group (transthoracic deltoid approach) according to the operative approaches, 38 cases in each group. The clinical effects of the two groups were compared. Results The operation time [(80.42±5.82) min], wound healing time [(94.02±14.47)d] of the observation group were shorter than those of the control group [(86.72±6.57) min, (112.48±14.50)d], the volume of intraoperative bleeding [(96.83±11.82)ml] and postoperative drainage [(86.67±9.10)ml] were less than those of the control group [(121.00±15.21)ml, (103.32±10.14)ml], with statistically significant differences (P<0.05). 3 months after surgery, Constant-Murley score in the two groups were significantly higher than those at the end of surgery, and Constant-Murley score in the observation group [(72.86±4.06)] was higher than that in the control group [(64.72±4.86)], with statistically significant difference (P<0.05). There were no vascular injury, incision infection, screw loosening or other postoperative complications in the two groups. Conclusion The extended deltoid approach is more effective in the treatment of proximal humeral fracture compared with transthoracic deltoid approach, which can reduce the operation time and the volume of intraoperative bleeding, and promote the recovery of the patients.关键词
经扩展劈三角肌入路/经胸三角肌入路/肱骨近端骨折/疗效Key words
Extended deltoid approach/Transthoracic deltoid approach/Proximal humeral fracture/Curative effect引用本文复制引用
郭俊超,刘军科,周丽品,杨亚娟,王云云..经扩展劈三角肌与经胸三角肌入路治疗肱骨近端骨折的临床观察[J].国际医药卫生导报,2018,24(1):50-52,3.
