摘要
目的观察锁骨钩钢板联合锚钉治疗Rock-WoodⅢ型肩锁关节脱位的疗效及其对关节功能的影响．方法选择2012年1月至2014年12月在上海交通大学附属第六人民医院南院就诊的Rock-woodm型肩锁关节脱位患者90例．其中男性56例，女性34例；年龄18～60岁。根据手术方式不同分为观察组和对照组．每组各45例．对照组予以锁骨钩钢板治疗，观察组予以锁骨钩钢板结合锚钉治疗。观察两组治疗后的疗效和并发症．记录术中出血量、手术时间、切口长度、住院时间和恢复工作时间，以及治疗前后肩关节Constant评分、自我评分系统（SSV）评价、疼痛视觉模拟量表（VAS）评分，比较喙锁间隙和肩锁间隙。结果观察组优良率为93．33％，明显优于对照组（73．33％），差异有统计学意义（X2=5．120，P〈0．05）。观察组术中出血量（89．32mL±6．36mL）和手术时间（73．21min±6．28min）较对照组（78．34m1．±5．87mL，67．53rnin±5．39min）明显增多或者延长（P〈0．01），观察组住院时间（14．26d4-1．28d）和恢复工作时间（25．56d±2．17d）较对照组（15．38d±1．36d，30．53d±2．58d）明显缩短（P〈0．01），而两组切口长度差异无统计学意义（P〉0．05）．观察组疼痛、日常活动水平、肩关节活动和力量评分明显高于对照组（P〈0．01）。两组治疗前SSV评分、VAS评分、喙锁间隙和肩锁间隙比较，差异无统计学意义（P〉0．05），治疗后较治疗前明显降低（P〈0．01），且观察组降低水平更为明显（P〈0．01）。两组并发症差异无统计学意义（X2=1．657，P〉0．05）。结论锁骨钩钢板联合锚钉治疗Rock—woodⅢ型肩锁关节脱位的疗效显著．术后恢复快，有助于肩关节功能的恢复．
Objective To observe the therapeutic effect of clavicular hook plate combined with rivet for treatment of Rock- wood In and its impact on joint function. Methods From January 2012 to December 2014, a total of 90 Rock-wood III pa- tients with acromioclavieular joint dislocation were enrolled, which included 56 males and 34 females, 18 - 60 years old. All of them were divided into observation group（n = 45） and control group（n = 45） for different surgical approach. The control group was treated with clavicular hook plate, and observation group with clavicular hook plate combined with rivet. The effica- cy and complications were observed after treatment. The intraoperative blood loss, operation time, incision length, hospitaliza- tion time and recovery time were also observed, and compared Constant shoulder score, subject should value （SSV） score, visu- al analogue scale（VAS） score before and after treatment, the coracoclavicular gap and acromioclavicular gap were detected. Results The excellent and good rate of 93.33 % in observation group was significant better than that of 73.33 % in control group, the difference was statistically significant （X2 = 5.120, P 〈 0.05）. The intraoperative blood loss and operation time were significantly increased or prolonged in observation group[（89.32±6.36） mL, （73.21±6.28） minutes] than those in control group[（78.34±5.87） mL, （67.53±5.39） minutes; P 〈 0.01], the hospitalization time and recovery time significantly reduced in observation group[（14.26±1.28） days, （25.56±2.17） days] than those in control group[（15.38±1.36） days, （30.53±2.58） days; P 〈 0.01）], but incision length was no statistically significant between 2 groups （P 〉 0.05）. The pain, daily activity level, shoulder mobility and strength score in observation group were significantly higher than those in control group （P 〈 0.01）. Be- fore treatment, the SSV score, VAS score, coraeoclavicular gap and acromioclavicular gap were no statistically
出处
《生物医学工程与临床》
CAS
2016年第2期174-178,共5页
Biomedical Engineering and Clinical Medicine
关键词
肩锁关节脱位
锁骨钩钢板
锚钉
治疗效果
肩关节功能
acromioclavicular joint dislocation
clavicular hook plate
efficacy
shoulder function
