摘要
目的探讨肩关节镜辅助肩锁关节低切迹带袢钛板系统对肩锁关节脱位患者疼痛程度、关节功能及皮质醇(Cor)和促肾上腺皮质激素(ACTH)检测水平的影响。方法西南医科大学附属中医院收治的82例肩锁关节脱位患者,按照随机数字表法分为研究组及常规组各41例。研究组采用肩关节镜辅助肩锁关节低切迹带袢钛板系统治疗,常规组采用切开复位锁骨钩钢板内固定治疗。对两组手术后不同时间段疼痛程度、肩关节功能及皮质醇(Cor)和促肾上腺皮质激素(ACTH)检测水平进行对比分析。结果研究组手术优良率高于常规组(P<0.05);术后1天两组皮质醇(Cor)及促肾上腺皮质激素(ACTH)水平均高于术前,但研究组低于常规组(P<0.05);研究组各项肩关节功能评分均高于术前(P<0.01)。研究组术后4周及术后6个月疼痛、日常活动、肩关节活动范围评分高于常规组;术后6个月肩关节力量测试评分高于常规组(P<0.01)。结论肩关节镜辅助肩锁关节低切迹带袢钛板系统治疗肩锁关节脱位能有效减轻疼痛程度、改善关节功能及应激反应,临床疗效确切。
Objective To explore the effects of arthroscopic assisted low incision loop titanium plate system on pain severity,shoulder joint function,and levels of cortisol(Cor)and adrenocorticotropic hormone(ACTH)in patients with acromioclavicular dislocation.Methods Eighty-two patients with acromioclavicular joint dislocation admitted to the Affiliated Traditional Chinese Medicine Hospital,Southwest Medical University were selected.The patients were divided into a study group and a control group using random number table method,41 in each group.The study group was treated with arthroscopic assisted low incision loop titanium plate system.The control group was treated with open reduction and clavicular hook steel plate internal fixation.The pain level,shoulder joint function,and levels of Cor and ACTH at different time points after surgery were compared and analyzed between the two groups.Results The excellent rate of surgery in the study group was higher than that in the control group(P<0.05).On the first day after surgery,the levels of Cor and ACTH in both groups were higher than those before surgery,but the study group was lower than the control group(P<0.05).All shoulder joint function scores in the study group were higher than those before surgery(P<0.01).After 4 weeks and 6 months of surgery,the visual analogue scale(VAS)scores,daily activities,shoulder joint range of motion score in the study group were higher than those in the control group.After 6 months of surgery,the shoulder joint strength test scores of the study group was higher than those of the control group(P<0.01).Conclusions The treatment of acromioclavicular dislocation with low incision titanium plate system assisted by arthroscopy can effectively alleviate the pain degree,improve the joint function and stress response.The treatment has a definitely clinical efficacy.
作者
王辉辉
陈杭
胡晓川
暴丁溯
付选明
WANG Hui-hui;CHEN Hang;HU Xiao-chuan;BAO Ding-su;FU Xuan-ming(Department of Trauma Orthopedics,Tianfu Campus,Sichuan Provincial Orthopaedic Hospital,Chengdu 611434,China;The Affiliated Traditional Chinese Medicine Hospital,Southwest Medical University,Luzhou 646099,China;Department of Orthopaedics,Sichuan Academy of Medical Sciences·Sichuan Provincial People’s Hospital(Affiliated Hospital of University of Electronic Science and Technology of China),Chengdu 610072,China)
出处
《实用医院临床杂志》
2024年第5期93-96,共4页
Practical Journal of Clinical Medicine
基金
中国博士后科学基金会面上项目(编号:2023M732927)。
关键词
肩锁关节脱位
肩关节镜
低切迹带袢钛板系统
疼痛程度
应激反应
Acromioclavicular dislocation
Shoulder arthroscope
Low notch loop titanium plate system
Degree of pain
Stress response
