摘要
目的比较采用双Endobutton钢板联合Ethibond缝线修复重建喙锁韧带与锁骨钩钢板联合Ethibond缝线修复重建喙锁韧带治疗Ⅲ型肩锁关节脱位患者的疗效。方法选取2015年7月至2018年6月在延安市人民医院诊治的Ⅲ型肩锁关节脱位患者90例作为研究对象,按照随机数表法将患者分为观察组和对照组,每组45例,观察组采用双Endobutton钢板联合Ethibond缝线修复重建喙锁韧带,对照组采用锁骨钩钢板联合Ethibond缝线修复重建喙锁韧带,随访1年,比较两组患者的手术情况,手术前、手术后3 d、手术后90 d的VAS评分、Contant-Murley评分,以及1年后的治疗效果。结果观察组与对照组患者的切口长度[(4.79±0.75)cm vs(6.64±0.71)cm]、中出血量为[(25.36±6.66)mL vs(46.60±8.20)mL]、手术时间[(46.13±10.33)min vs(63.07±12.21)min]、住院时间[(4.24±0.9)d vs(6.81±1.68)d]比较,观察组明显短于或少于对照组,差异均有统计学意义(P?0.05);治疗后3d,观察组患者的VAS评分为(2.15±0.99)分,明显低于对照组的(5.19±1.17)分,Contant-Murley评分为(90.14±2.93)分,明显高于对照组的(81.15±2.15)分,差异均有统计学意义(P?0.05);治疗后90 d,观察组患者的VAS评分为(1.39±0.67)分,明显低于对照组的(2.64±1.02)分,Contant-Murley评分为(97.33±2.68)分,明显高于对照组的(91.57±3.02)分,差异均有统计学意义(P?0.05);治疗后1年,观察组患者的治疗总有效率为95.56%,明显高于对照组的68.59%,差异有显著统计学意义(P?0.01)。结论采用双Endobutton钢板联合Ethibond缝线修复重建喙锁韧带治疗Ⅲ型肩锁关节脱位能够改善患者术中及术后情况,缓解患者的疼痛,使患者能够更早进行锻炼并恢复肩关节功能,其治疗效果比采用锁骨钩钢板联合Ethibond缝线修复重建喙锁韧带治疗效果显著。
Objective To compare the efficacy of double Endobutton plate combined with Ethibond suture and clavicular hook plate combined with Ethibond suture to reconstruct the sacral ligament for the treatment of typeⅢacromioclavicular joint dislocation.Methods Ninety patients with typeⅢacromioclavicular joint dislocation diagnosed in Yan'an People's Hospital from July 2015 to June 2018 were enrolled in the study.The patients were randomly divided into observation group and control group according to the random number table method,with 45 cases in each group.The observation group was treated with double Endobutton plate combined with Ethibond suture to reconstruct the sacral ligament,and the control group was treated with clavicular hook plate combined with Ethibond suture.The patients were followed up for 1 year.VAS score,Contant-Murley score before surgery,3 days after surgery,90 days after surgery,and treatment effect after 1 year were compared between the two groups.Results The length of the incision,the amount of hemorrhage,the operation time,hospitalization time in the observation group were(4.79±0.75)cm,(25.36±6.66)mL,(46.13±10.33)min,(4.24±0.9)d,significantly shorter or less than(6.64±0.71)cm,(46.60±8.20)mL,(63.07±12.21)min,(6.81±1.68)d in the control group(P?0.05).At 3 days after treatment,the VAS score of the observation group was 2.15±0.99,which was significantly lower than 5.19±1.17 of the control group,and the Contant-Murley score was 90.14±2.93,which was significantly higher than 81.15±2.15 in the control group(P?0.05).Ninety days after treatment,the VAS score of the observation group was 1.39±0.67,which was significantly lower than 2.64±1.02 in the control group(P?0.05).The Contant-Murley score was 97.33±2.68,which was significantly higher than 91.57±3.02 of the control group(P?0.05).One year after treatment,the total effective rate in the observation group was 95.56%,which was significantly higher than 68.59%of the control group(P?0.01).Conclusion Reconstruction of the sacral ligament wi
作者
王涛
史长安
张文生
高延伟
刘世平
庞军
丁俊杰
WANG Tao;SHI Chang-an;ZHANG Wen-sheng;GAO Yan-wei;LIU Shi-ping;PANG Jun;DING Jun-jie(Department of Sports Injuries of Bone and Joint,Yan'an People's Hospital,Shaanxi,CHINA)
出处
《海南医学》
CAS
2019年第18期2370-2372,共3页
Hainan Medical Journal
