Effect of deltoid muscle double interstitial approach on treatment of proximal humerus fractures and the quality of life

HUANG Changhui; TAN Wei; ZHAN Jianfeng; WU Mingxin

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Effect of deltoid muscle double interstitial approach on treatment of proximal humerus fractures and the quality of life

更新时间：2022-06-24

- Effect of deltoid muscle double interstitial approach on treatment of proximal humerus fractures and the quality of life
- null Issue 11, Pages: 895(2020)
- 作者机构：
  
  惠州市第三人民医院/广州医科大学附属惠州医院骨科,广东,惠州,516001
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HUANG Changhui, TAN Wei, ZHAN Jianfeng, et al. Effect of deltoid muscle double interstitial approach on treatment of proximal humerus fractures and the quality of life. [J]. null (11):895(2020)
DOI：

HUANG Changhui, TAN Wei, ZHAN Jianfeng, et al. Effect of deltoid muscle double interstitial approach on treatment of proximal humerus fractures and the quality of life. [J]. null (11):895(2020) DOI：

摘要

目的探讨经三角肌双间隙入路手术治疗肱骨近端骨折的疗效以及对患者生活质量的影响。方法回顾性分析2017年1月至2018年12月于我院行锁定钢板内固定治疗的82例肱骨近端骨折患者的临床资料，根据入路方式的不同分为观察组（采用经三角肌双间隙入路手术治疗）和对照组（采用传统入路手术治疗）。比较2组患者手术相关指标，评估术后1、3、6、12个月的肩关节功能（Neer评分）、疼痛程度（VAS评分）、生活质量［欧洲五维健康量表(EQ5D)指数得分］，统计并发症发生情况。结果观察组患者手术时间、术中出血量、术后引流量均短/少于对照组（P＜0.05）。术后1、3、6、12个月2组患者Neer评分、EQ-5D指数得分呈逐渐增高趋势（P＜0.05），VAS评分呈逐渐降低趋势（P＜0.05）；观察组患者术后1、3、6、12个月Neer评分、EQ-5D指数得分高于对照组（P＜0.05），VAS评分低于对照组（P＜0.05）。2组并发症发生率比较差异无统计学意义（P＞0.05）。结论与传统入路比较，经三角肌双间隙入路手术治疗肱骨近端骨折可缩短手术时间，减少创伤和术后疼痛，促进肩关节功能恢复，提高患者生活质量，且不会增加并发症发生率。

Abstract

关键词

经三角肌双间隙入路肱骨近端骨折肩关节功能疼痛程度生活质量并发症

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