【摘要】 目的探讨多发伤合并不稳定性肩胛骨骨折的手术治疗。方法回顾分析自2002年1月~2007年12月经手术治疗的多发伤合并不稳定性肩胛骨骨折患者18例,合并损伤包括颅脑损伤、胸部损伤及多发肋骨骨折,同侧锁骨骨折伴肩锁关节脱位、同侧肱骨骨折、臂丛神经损伤。结果18例患者获得完整随访资料,随访时间3~24个月,采用Hardegger肩关节功能评定标准,优6例,良9例,可3例。平均骨折临床愈合时间12周。结论多发伤合并不稳定性肩胛骨骨折的治疗,以积极治疗危及生命的损伤,提高伤者存活率为首要目标,待全身情况稳定后早期行复位内固定手术治疗,可获得较好的疗效。更多还原

【Abstract】 Objective To explore the surgical treatment of the multiple injury with unstable scapular fracture.Methods Eighteen patients with mutiple injury and unstable scapular fracture that admitted to our hospital from Jan.2002 to Dec.2007 were treated by surgical operation.Other associated injuries included head injury,thoracic injury with rib fracture,ipsilateral fracture of the clavicle and acromioclavicular dislocation,ipsilateral fracture of the humerus,brachial plexus injury.Results Eighteen cases were followed up for 3 to 24 months.According to Hardegger evaluation,6 cases showed excellent results,9 good,3 fair.The average clinical healing time lasted 12 weeks.Conclusion The life-threatening injury should be treated first.Early surgical internal fixation for patients with unstable scapular fracture can improve therapeutic efficacy.更多还原