【摘要】 目的探讨关节镜治疗肩关节脱位合并肱骨大结节骨折的临床效果。方法回顾性分析2017年4月～2018年4月我院收治的46例肩关节脱位合并肱骨大结节骨折患者的临床资料,采用均衡分组法分为参与组和研究组,每组各23例。参与组采用传统方法进行治疗,研究组采用关节镜进行手术治疗。比较两组的治疗总有效率、并发症总发生率及治疗前后视觉模拟量表(VAS)评分、Neer肩关节功能评分、关节活动情况。结果研究组的治疗总有效率为95.65%,高于参与组的65.22%,差异有统计学意义(P<0.05);研究组的并发症总发生率为4.35%,低于参与组的34.78%,差异有统计学意义(P<0.05);研究组治疗后的VAS评分及关节活动情况评分低于参与组,Neer肩关节功能评分高于参与组,差异均有统计学意义(P<0.05)。结论关节镜治疗肩关节脱位合并肱骨大结节骨折能提高患者的治疗效果,降低患者的并发症发生率,缓解患者的疼痛程度,提高患者的肩关节功能和活动情况,值得临床应用推广。更多还原

【Abstract】 Objective To explore the clinical effect of arthroscopic treatment of shoulder dislocation combined with fracture of greater tubercle of humerus. Methods The clinical data of 46 patients with shoulder dislocation combined with fracture of greater tubercle of humerus from April 2017 to April 2018 were analyzed retrospectively, the patients were divided into participating group and the research group by balanced grouping method, with 23 cases in each group. The participating group treated with traditional methods, and the research group treated with arthroscope for surgery. The total effective rate, complication rate, visual analogue scale(VAS) score, Neer shoulder function score and joint activity of the two groups were compared. Results The total effective rate of the research group was 95.65%,which was higher than 65.22% of the participating group, the difference was statistically significant(P<0.05). The total incidence of complications in the research group was 4.35%, which was lower than 34.78% in the participation group,the difference was statistically significant(P<0.05). After treatment, the VAS score and joint activity score of the research group were lower than those of the participation group, and neer elbow function score was higher than that of the participation group, the differences were statistically significant(P<0.05). Conclusion Arthroscopic treatment of shoulder dislocation combined with fracture of greater tubercle of humerus can improve the treatment effect of patients, reduce the incidence of complications of patients, relieve the pain of patients, improve the elbow joint function and activity of patients, which is worthy of clinical application and promotion.更多还原