医药前沿
醫藥前沿
의약전연
YIAYAO QIANYAN
2013年
34期
78-78,79
,共2页
锁骨钩钢板%克氏针内固定术%肩锁关节脱位(Tossy Ⅲ型)
鎖骨鉤鋼闆%剋氏針內固定術%肩鎖關節脫位(Tossy Ⅲ型)
쇄골구강판%극씨침내고정술%견쇄관절탈위(Tossy Ⅲ형)
Clavicle hook plate fixation%Traditional Kirschner fixation%Acromioclavicular joint dislocation (Tossy Ⅲ)
目的：对比分析应用锁骨钩钢板（CHP）与克氏针内固定术(TBF)治疗肩锁关节脱位（Tossy Ⅲ型）的临床疗效。方法：回顾性分析2011年5月至2012年6月因患有肩锁关节脱位在我院行手术治疗的86例患者临床资料，其中行克氏针固定术治疗的患者有52例，行锁骨钩钢板治疗的患者有34例，术后平均随访一年（4-27月，平均12月）。根据Karlsson标准进行肩关节功能恢复评定，观测两组术后优良率及并发症并进行统计学分析。结果：CHP组的优良率为94.11%，明显高于TBF组的优良率73.07%，并发症发生率为5.88%，明显低于TBF组的30.76%，差异有统计学意义（P<0.05）。结论：CHP与TBF相比具有优良率高、术后并发症几率小、疗效确切等优点，是治疗肩锁关节脱位（Tossy Ⅲ型）首选的治疗方法。
目的：對比分析應用鎖骨鉤鋼闆（CHP）與剋氏針內固定術(TBF)治療肩鎖關節脫位（Tossy Ⅲ型）的臨床療效。方法：迴顧性分析2011年5月至2012年6月因患有肩鎖關節脫位在我院行手術治療的86例患者臨床資料，其中行剋氏針固定術治療的患者有52例，行鎖骨鉤鋼闆治療的患者有34例，術後平均隨訪一年（4-27月，平均12月）。根據Karlsson標準進行肩關節功能恢複評定，觀測兩組術後優良率及併髮癥併進行統計學分析。結果：CHP組的優良率為94.11%，明顯高于TBF組的優良率73.07%，併髮癥髮生率為5.88%，明顯低于TBF組的30.76%，差異有統計學意義（P<0.05）。結論：CHP與TBF相比具有優良率高、術後併髮癥幾率小、療效確切等優點，是治療肩鎖關節脫位（Tossy Ⅲ型）首選的治療方法。
목적：대비분석응용쇄골구강판（CHP）여극씨침내고정술(TBF)치료견쇄관절탈위（Tossy Ⅲ형）적림상료효。방법：회고성분석2011년5월지2012년6월인환유견쇄관절탈위재아원행수술치료적86례환자림상자료，기중행극씨침고정술치료적환자유52례，행쇄골구강판치료적환자유34례，술후평균수방일년（4-27월，평균12월）。근거Karlsson표준진행견관절공능회복평정，관측량조술후우량솔급병발증병진행통계학분석。결과：CHP조적우량솔위94.11%，명현고우TBF조적우량솔73.07%，병발증발생솔위5.88%，명현저우TBF조적30.76%，차이유통계학의의（P<0.05）。결론：CHP여TBF상비구유우량솔고、술후병발증궤솔소、료효학절등우점，시치료견쇄관절탈위（Tossy Ⅲ형）수선적치료방법。
Objective: Comparative analysis of the effect of clavicular hook plate (CHP) and Kirschner wire internal fixation (TBF) for the treatment of acromioclavicular joint dislocation. Method: A retrospective analysis operation treatment, from May. 2011 to Jun. 2012 due to suffering from the acromioclavicular joint dislocated in our hospital, 52 cases the line Kischner wire internal fixation for the treatment, 34 patients with clavicular hook plate fixation, after a mean fol ow-up period of one year (4-27 months fol ow-up, for an average of 12 months). According to the criteria of Karlsson recovery of shoulder function assessment, observed excellent and good rate and complication rate of infection and made a statistical analysis. Result: In CHP group, the excellent and good rate was 94.11%, which was significantly higher than that in TBF group (39.13%), the complication rate of infection (5.88%) was significantly lower than that in TBF group (30.76%), the difference was statistical y significant (P<0.05). Conclusion: Treated with clavicular hook plate and Kirschner wire internal fixation for the treatment of dislocation of acromioclavicular joint has excellent high rate, low probability of less postoperative complications, curative effect is exact and other advantages, is the first choice of the treatment of dislocation of the acromioclavicular joint (Tossy Ⅲ) .
