肩关节脱位合并肱骨颈骨折的治疗

目的探讨肩关节脱位合并肱骨颈骨折的治疗方法以及临床治疗效果。方法随机抽取该院骨科2011年4月—2013年4月收治的肩关节脱位合并肱骨颈骨折患者120例为研究对象。并将其随机分成对照组和观察组,每组患者分别为60例。观察组患者接受行整复、外固定（或尺骨鹰嘴牵引）进行治疗,对照组患者切开复位内固定治疗。比较两组患者的临床治疗效果。结果在患者治疗一段时间后,随访所有患者,观察组患者治疗优良率为96.67%,对照组优良率61.67%,两组数据差异有统计学意义（P〈0.05）。结论根据患者的治疗效果和临床治疗情况可知,治疗肩关节脱位合并肱骨颈骨折,采取非手术治疗方法能够获得患者的满意,采用手术治疗,应当注意肩袖损伤和肱骨坏死的情况。

The Treatment of Dislocation of Shoulder Complicated by Fracture of Humeral Neck

Objective To study and discuss the treatment of dislocation of shoulder complicated by fracture of humeral neck and the clinical treatment effect. Methods 120 cases with dislocation of shoulder complicated by fracture of humeral neck admitted in department of orthopedics of our hospital from April 2011 to April 2013 were randomly selected as the subjects. And they were divided into the control group and the observation group randomly with 60 cases in each. The observation group were treated by line reduction and external fixation（or ulna olecranon traction）, and the control group was treated by open reduction and internal fixation. And the clinical treatment effects of the two groups were compared. Results The patients were followed up after they were treated for a period of time. The excellent and good rate of treatment was 96.67% in the observation group and 61.67% in the con-trol group, there was difference between the two groups of data（P〈0.05）. Conclusion The treatment effect and clinical treatment status of the patients with dislocation of shoulder and fracture of humeral neck showed that patients can be satisfied with the effect of non-surgical treatment; but when using surgical treatment, rotator cuff injury and humeral necrosis should be paid attention.