目的探讨肩胛骨外侧缘入路与标准Judet入路方式治疗肩胛骨骨折的疗效。方法回顾性分析2006年1月至2013年2月48例肩胛骨骨折患者的病例资料,根据手术入路方式分为观察组和对照组,观察组27例采用肩胛骨外侧缘入路手术治疗,对照组21例采用标准Judet入路手术治疗,比较2组临床疗效和并发症发生情况。结果观察组手术时间和术中出血量均少于对照组(P0.05),骨折愈合时间也短于对照组(P0.05);术后6个月,观察组优良率高于对照组(P0.05)。术后观察组患肢日常活动和肌力评分高于对照组,差异均有统计学意义(P0.05),疼痛评分、关节活动评分组间比较差异无统计学意义(P0.05)。结论肩胛骨外侧缘入路手术治疗肩胛骨骨折操作简便、并发症少,可作为肩胛骨骨折手术治疗的优选方案。

Objective To compare the effect of scapula lateral margin approach and standard Judet approach in the operative treatment of scapular fracture. Methods Medical data of 48 patients with scapular fractures from January 2006 to February 2013 were retrospectively analyzed. They were divided into the observation group and the control group according to the surgical approach. 27 patients in the observation group were treated with operative treatment through scapula lateral margin approach and 21 patients in the control group were treated with sur-gical treatment through standard Judet approach. Compared the clinical effects and complications of the patients in two groups. Results To operation time and intraoperative hemorrhage in the observation group were less than that of the control group (P 0. 05). Conclusion Scapula lateral margin approach in treatment of scapular fracture has the advanta-ges of easy operation,small trauma,definite effect,little complication and it can be used as the pr

目的探讨上肢创伤骨折并发深静脉血栓(DVT)的相关危险因素,为其预防提供参考。方法对2 158例上肢创伤患者进行回顾性分析。对DVT发生的相关因素进行单因素及多因素回归分析。结果上肢创伤骨折患者中DVT发生率为0.83%(18/2 158)。单因素分析发现年龄大于60岁、高血脂、体质量指数大于25kg/m2、糖尿病、粉碎性骨折、挤压伤、肩胛骨骨折、肱骨外科颈骨折、3处以上骨折9个危险因素与上肢DVT的发生有关。多因素分析发现肩胛骨骨折、3处以上骨折、肱骨外科颈骨折、高血脂4个因素为上肢创伤骨折并发DVT的独立危险因素。结论肩胛骨骨折、3处以上骨折、肱骨外科颈骨折、高血脂是上肢创伤骨折并发DVT的相关因素,正确认识这些危险因素对其防治具有指导意义。

Objective To explore the risk factors of upper limb trauma fracture complicated with deep vein thrombosis(DVT ) and provide references for the prevention .Methods A total of 2 158 patients with upper limb trauma fracture were analyzed retrospectively .The risk factors were analyzed by single factor analysis and multifac-tor regression analysis .Results The incidence rate of complicated DVT in patients with upper limb trauma fracture was 0 .83% (18/2 158) .Single factor analysis indicated that more than 60 years old ,hyperlipemia ,body mass index more than 25 kg/m2 ,diabetes ,thrypsis ,crush injury ,shoulder blade fracture ,surgical neck fracture of humerus and more than 3 fractures were related with DVT .Multifactor analysis indicated that shoulder blade fracture ,more than 3 fractures ,surgical neck fracture of humerus and hyperlipemia were independent risk factors .Conclusion Shoulder blade fracture ,more than 3 fractures ,surgical neck fracture of humerus and hyperlipemia could be r

目的探讨肩胛骨骨折手术治疗的临床效果。方法将1997—2012年收治的60例肩胛骨骨折病患作为研究对象，所有病患均采用手术治疗，术后积极进行适当的功能锻炼。结果对所有病患进行随访6个月～5年。采用Neer标准评定肩关节的功能，60例病患经过手术治疗后，其中有28例优秀，25例满意，7例不满意。结论由于肩胛骨骨折手术治疗并不多见，而效果也没有完全定性，因此在选择手术治疗的时候，必须慎重选择，应尽早手术，加强早期功能锻炼，以期达到最佳的治疗效果。

Objective To observe the clincal effect of surgical treatment for scapular fracture. Methods 60 patients with scapular fracture treated in the hospital from 1997 to 2012 were selected as the research objects. All the patients received surgical treatment, and were for appropriate function exercise after operation. Results All the patients were followed up for six months to three years. Neer standard was used in the research to evaluate the function of shoulder joint. For the 60 patients receiving surgical treatment, 28 patients were excellent, 25 cases were satisifed, and the other 7 cases were not satisifed. Conclusion As surgical treatment for scapular fracture is not common, and the effect is completely qualitative, we should cautiously choose surgical treatment, make operations as early as possible, and enhance early function exercise to achieve the best treatment effect.

目的分析16排多层螺旋CT后处理技术诊断胸部骨骼骨折的临床应用价值。方法回顾性分析经16排多层螺旋CT扫描的胸骨骨折患者34例、肋骨肋软骨骨折157例、肩胛骨骨折79例、胸椎骨折68例,分别对比常规轴位CT和后处理MPR图像结果。结果后处理行多平面重建(MPR)图像对于横行胸骨骨折及未移位胸骨骨折、无明显移位的肩胛骨骨折、胸椎中柱骨折的检出率明显高于常规轴位CT,差异均有统计学意义(P0.05)。结论16排多层螺旋CT后处理技术对胸部骨骼骨折的诊断具有重要临床价值。

Objective To analysis the value of aquilion 16 CFX Edition in sternal fracture.Methods Retrospective analysis of aquilion 16 CFX Edition in 34 cases of sternal fracture patients,157 cases of costal cartilage fracture patients ,79 ca-ses of patients with scapular fractures ,68 cases of patients with thoracic fractures .Compared the conventional axial CT and Post-processing of MRP images.Results The detection rate of the transverse sternal fracture ,not shift sternal fracture,no ob-vious shift of scapula fracture and the column fracture in thoracic vertebra of post -processing of MRP images were higher than that of conventional axial CT ,the difference was statistically significant (P <0.05).Conclusion The Post-processing of MRP images in the diagnosis of chest bone fractures has an important value .

目的：观察围手术期护理对肩胛骨骨折患者心理状况的影响。方法：60例患者均采用手术内固定治疗肩胛骨骨折，同时针对治疗的不同阶段施以术前护理、术后护理。结果：60例患者经过护理后焦虑、抑郁程度明显减轻，护理前后相比差异具有统计学意义（P〈0．05）。结论：围手术期护理可加强护患沟通，减少患者焦虑、抑郁等不良情绪，有助于临床治疗。

Objective:To discuss the effects of perioperative care on psychological state of the patients with scapular fracture. Method:Altogether 60 patients received internal fixation by the surgery, and they were given with preoperative care, postoperative care in different stages. Result:The anxiety and depression of the patients were alle-viated obviously after nursing, the difference showed statistical meaning before and after the care (P<0.05). Conclu-sion:Perioperative care could enhance the communication between the nurse and the patients, relive the anxiety and depression of the patients and is helpful to clinical treatment.