标题：桥接内固定系统和钢板内固定治疗肩胛骨体部及颈部骨折对比研究

      作者：陈西政，于志勇，钟俊敏    深圳市福永人民医院骨一科，广东 深圳 518103

      卷次： 2021年32卷15期

      【摘要】 目的 比较采用桥接内固定系统和钢板内固定治疗肩胛骨体部及颈部骨折的临床效果。方法 选择 2015年 12月至2020年12月深圳市福永人民医院收治的60例肩胛骨体部及颈部骨折患者为研究对象，按照随机数表法将患者分为研究组和对照组各 30例。研究组患者采用桥接内固定系统治疗，对照组采用钢板固定治疗。比较两组患者的临床指标、肩关节功能及并发症情况。结果 研究组患者的术中时间、骨折愈合时间和住院时间分别为(32.55±8.21) min、(10.52±1.20)周、(9.32±1.02) d，明显短于对照组的(40.26±6.39) min、(13.20±1.51)周、(13.05±1.27) d，差异均有统计学意义(P<0.05)；研究组患者的术中出血量为(40.21±5.74) mL，明显少于对照组的(53.06±6.31) mL，差异有统计学意义(P<0.05)；研究组患者术后 6个月的Constant-Murley评分、Neer评分分别为(86.32±4.12)分、(88.16±5.36)分，明显高于对照组的(80.21±5.10)分、(79.31±5.14)分，差异均有统计学意义(P<0.05)；研究组患者中Neer评分分级为优者为40.00%，明显高于对照组的16.67%，差异有统计学意义(P<0.05)；研究组患者术后6个月的并发症总发生率为3.33%，明显低于对照组的20.00%，差异有统计学意义(P<0.05)。结论 采用桥接内固定系统治疗肩胛骨体部及颈部骨折具有显著的临床疗效，其具有手术时间短、愈合速度快、肩关节恢复较好、并发症发生率低等优点，值得临床推广应用。
      【关键词】 桥接内固定系统；钢板内固定；肩胛骨骨折；肩关节功能；并发症
      【中图分类号】R683 【文献标识码】 A 【文章编号】 1003—6350（2021）15—1968—04

Comparative study of bridging internal fixation system and plate internal fixation in the treatment of scapularbody and neck fractures.
CHEN Xi-zheng, YU Zhi-yong, ZHONG Jun-min. Department of Orthopedics, ShenzhenFuyong People's Hospital, Shenzhen 518103, Guangdong, CHINA
【Abstract】 Objective To study the effect of bridging internal fixation system and plate internal fixation in thetreatment of scapular body and neck fractures. Methods From December 2015 to December 2020, 60 patients withscapular body and neck fractures in Shenzhen Fuyong People's Hospital were selected as the research objects and ran-domly divided into study group and control group, with 30 cases in each group. The study group was treated with bridg-ing internal fixation system, and the control group was treated with plate fixation. The clinical indexes, shoulder jointfunction, and complications of the two groups were compared. Results The intraoperative time, fracture healing time,and hospital stay of the study group were (32.55±8.21) min, (10.52±1.20) weeks, and (9.32±1.02) days, which were sig-nificantly shorter than (40.26±6.39) min, (13.20±1.51) weeks, and (13.05±1.27) days of the control group (P<0.05); theintraoperative blood loss of the study group was (40.21±5.74) mL, which was significantly lower than (53.06±6.31) mLof the control group (P<0.05). The Constant-Murley score and Neer score at 6 months after operation were (86.32±