摘要
目的：探讨肩部恶性肿瘤行人工全肩胛骨肩关节置换术同期康复锻炼的方法与效果。方法：回顾性分析2009-01-2014-04我院骨科收治肩部恶性肿瘤患者12例,采用肩部肿瘤广泛切除术、人工全肩胛骨肩关节置换及功能重建术。术后患肢外展支架固定,手术同期分三阶段行肩关节康复锻炼：被动辅助运动、主动运动、抗阻力肌力增强练习。结果：12例患者在术后3个月,用肩关节Neer评分系统进行疗效评价,得分78～89分,平均83分,总体效果良。并且在术后1周、4周和术后3个月,肩关节的功能评分与术前比较,差异有统计学意义（P〈0.05）。结论：人工全肩胛骨肩关节置换术是治疗肩部恶性肿瘤的有效方法,手术同期康复锻炼能促进肩关节功能的全面恢复。
Objective：Exploring the method and effect of concurrent rehabilitation exercise in shoulder malignant tumor patients with artificial total scapula and shoulder arthroplasty.Method：Invert artificial total scapula and shoulder arthroplasty and functional reconstruction was carried out.From January 2009 to April 2014,12 patients who had primary malignant tumors in shoulder were treated by surgical treatment with resection of neoplasm widely.The patients were replaced with invert-type artificial total shoulder blade and joint prosthesis and functional reconstruction.The concurrent rehabilitation exercise on shoulder joint were divided into three stages including passive auxiliary movement,active movement,resistance and muscle strengthening exercises while fixed the limb with abduction brace postoperation.Result：According to Neer scoring system,the score of efficiency evaluation was 78～89with average of 83 3months after operation.The overall effect and recovery of shoulder function were good.Comparing the score between 1wand 3Mof efficiency evaluation after operation,there was statistical significance（P〈0.05）.Conclusion：Invert artificial total scapula and shoulder arthroplasty is an effective method for treatment of shoulder malignant tumor.Concurrent rehabilitation exercise can improve the recovery of shoulder function.
出处
《临床急诊杂志》
CAS
2014年第12期733-735,共3页
Journal of Clinical Emergency
关键词
肩部恶性肿瘤
人工全肩胛骨
肩关节置换
同期康复锻炼
shoulder malignant tumor
artificial total scapula
shoulder arthroplasty
concurrent rehabilitation exercise
