摘要
目的比较三Endobutton钢板与锁骨钩钢板治疗肩锁关节脱位的临床疗效。方法2008年1月至2011年1月共收治肩锁关节脱位患者42例，按照治疗方法不同分为三Endobutton钢板组（EB组）和锁骨钩钢板组（CH组），EB组20例，采用三Endobutton钢板治疗，CH组22例，采用锁骨钩钢板治疗。对两组患者围手术期指标[手术时间、术中失血量及术后第3天疼痛视觉模拟量表（VAS）评分]、术后12个月肩关节功能评分和术后并发症进行比较。结果EB组与CH组比较，手术时间较长[（113．6±2513）min比（62．3±17．8）min]，术中失血量较大[（152．7±15．2）ml比（93．1±18．9）m1]，差异均有统计学意义（P〈0．05）；两组术后第3天VAS评分比较差异无统计学意义（P〉0．05）；EB组患者术后12个月肩关节功能评分优良率优于CH组，但差异无统计学意义[95．0％（19，20）比81．8％（18／22），P〉0．05]；EB组术后肩关节疼痛、僵硬发生率明显低于CH组[20．0％（4／20）比50．0％（11／22）、20．0％（4／20）比54．5％（12／22），P〈0．05]，但在切口感染方面，两组比较差异无统计学意义（P〉0．05）。结论三Endobutton钢板治疗肩锁关节脱位与锁骨钩钢板比较，手术较复杂，且术中失血量较多，但其术后并发症较少。
Objective To compare the clinical effect of three Endobutton plates and clavicular hook plate in treatment of acromioclavicular joint dislocation. Methods Forty-two patients with acromioclavicular joint dislocation were randomly divided into EB group （20 patients） who were treated with three Endobutton plates and CH group （22 patients） who were treated with clavicular hook plate from January 2008 to January 2011. Perioperative index （operation time, blood loss and VAS scores on the third day postoperatively）, Karlsson shoulder joint function ＇scores and postoperative complication were compared. Results The operation time and blood loss in EB group were significantly higher than those in CH group [ （113.6 ± 25.3 ） min vs. （62.3 ± 17.8） min, （152.7 ± 15.2） ml vs.（93.1± 18.9） ml,P〈0.05]. However, there had no significant difference for VAS scores on the third day postoperatively between two groups （P 〉 0.05 ）. EB group was superior to CH group for shoulder joint function scores on the twelfth month postoperatively, but there had no significant difference [95.0% （19/20） vs. 81.8% （18/22） ,P 〉 0.05 ]. The incidence rate of shoulder joint pain and stiffness in EB group were significant lower than those in CH group[ 20.0 %（4/20 ） vs. 50.0% （11/22 ）, 20.0% （4/20） vs. 54.5% （12/22 ）, P 〈 0.05 ]. The incidence rate of incision infection in two groups had no significant difference （P 〉 0.05 ）. Conclusions Compared with clavicular hook plate, three Endobutton plates fixation is complex and consequently with more blood loss. However, three Endobutton plates fixation have advantage in clinical effect and complication.
出处
《中国医师进修杂志》
2013年第11期8-11,共4页
Chinese Journal of Postgraduates of Medicine
