医学信息
醫學信息
의학신식
MEDICAL INFORMATION
2014年
17期
51-52
,共2页
改良喙突移位术%肩锁关节完全脱位%锁骨钩钢板治疗
改良喙突移位術%肩鎖關節完全脫位%鎖骨鉤鋼闆治療
개량훼돌이위술%견쇄관절완전탈위%쇄골구강판치료
Improved coracoid transplantation%Complete acromioclavicular joint dislocation%Clavicular hook plate treatment
目的：探讨改良喙突移位术治疗肩锁关节完全脱位临床效果。方法选取2010年5月~2012年12月，我院收治肩锁关节完全脱位患者105例，所有患者随机分为改良喙突移位术治疗组(研究组)53例和锁骨钩钢板治疗组(对照组)52例。观察两组患者的疗效及手术时间、失血量、术后内固定滑脱断裂松动、再脱位、肩锁关节功能及切口感染的情况。结果两组患者随访6个月后比较，研究组优良率为92.45%，对照组为84.62%，两组优良率比较，差异有统计学意义（P＜0.05）。研究组平均手术时间与失血量皆少于对照组，差异有统计学意义（P＜0.05）。研究组与对照组并发症比较，差异有统计学意义（χ2=9.776，P＜0.05）。结论改良喙突移位术操作简单安全，组织损伤小，属于动力复位，并发症少，效果可靠，不易复发，值得临床推广应用。
目的：探討改良喙突移位術治療肩鎖關節完全脫位臨床效果。方法選取2010年5月~2012年12月，我院收治肩鎖關節完全脫位患者105例，所有患者隨機分為改良喙突移位術治療組(研究組)53例和鎖骨鉤鋼闆治療組(對照組)52例。觀察兩組患者的療效及手術時間、失血量、術後內固定滑脫斷裂鬆動、再脫位、肩鎖關節功能及切口感染的情況。結果兩組患者隨訪6箇月後比較，研究組優良率為92.45%，對照組為84.62%，兩組優良率比較，差異有統計學意義（P＜0.05）。研究組平均手術時間與失血量皆少于對照組，差異有統計學意義（P＜0.05）。研究組與對照組併髮癥比較，差異有統計學意義（χ2=9.776，P＜0.05）。結論改良喙突移位術操作簡單安全，組織損傷小，屬于動力複位，併髮癥少，效果可靠，不易複髮，值得臨床推廣應用。
목적：탐토개량훼돌이위술치료견쇄관절완전탈위림상효과。방법선취2010년5월~2012년12월，아원수치견쇄관절완전탈위환자105례，소유환자수궤분위개량훼돌이위술치료조(연구조)53례화쇄골구강판치료조(대조조)52례。관찰량조환자적료효급수술시간、실혈량、술후내고정활탈단렬송동、재탈위、견쇄관절공능급절구감염적정황。결과량조환자수방6개월후비교，연구조우량솔위92.45%，대조조위84.62%，량조우량솔비교，차이유통계학의의（P＜0.05）。연구조평균수술시간여실혈량개소우대조조，차이유통계학의의（P＜0.05）。연구조여대조조병발증비교，차이유통계학의의（χ2=9.776，P＜0.05）。결론개량훼돌이위술조작간단안전，조직손상소，속우동력복위，병발증소，효과가고，불역복발，치득림상추엄응용。
Objective To investigate the clinical ef ect of improved coracoid transplantation in treatment of complete acromioclavicular joint dislocation. Methods 105 patients with complete acromioclavicular joint dislocation were col ected from May 2010 to December 2012 in our hospital, al patients were divided into 53 cases of improved coracoid transplantation treatment group (study sroup) and 52 cases of clavicular hook plate treatment group(control group). The ef ect, operation time, blood loss, postoperative internal fixation loosening, dislocation slip fault, cromioclavicular joint function and incision infection of two groups were observed. Results The comparison of two groups after fol ow-up six months showed that the excellent and good rate of study group was 92.45%, while the control group was 84.62%, the dif erence was statistical y significant (P<0.05). The average operation time and blood loss of study group were less than that of control group, the dif erence was statistical y significant (P<0.05). The study group and the control group were compared, the dif erence was statistical y significant in complications between two groups (χ2=9.776, P<0.05). Conclusion Improved coracoid transplantation is simple and safe, less injury, less complication,and belongs to the power reduction,and has reliable ef ect, less recurrence, and it is worthy of clinical application.
