大家健康（下旬版）
大傢健康（下旬版）
대가건강（하순판）
FOR ALL HEALTH
2014年
8期
340-340
,共1页
崔晓$%赵军%张明华%肖善彬
崔曉$%趙軍%張明華%肖善彬
최효$%조군%장명화%초선빈
肩锁关节脱位%锁骨钩钢板%临床效果
肩鎖關節脫位%鎖骨鉤鋼闆%臨床效果
견쇄관절탈위%쇄골구강판%림상효과
acromioclavicular joint dislocation%clavicular hook plate%therapeutic effects
目的：观察肩锁关节钢板治疗肩锁关节脱位的临床效果。方法：选择肩锁关节脱位患者96例，随机分配为两组，其中47例采用肩锁关节克氏针张力带内固定治疗，49例采用锁骨钩钢板内固定治疗。随访6～12月，比较两组肩关节功能恢复优良率以及并发症发生情况等，评价临床治疗效果。结果：（1）锁骨钩钢板组患者肩关节功能恢复优良率为93．8％，张力带组患者肩关节功能恢复优良率为82．9％。两组比较差异有统计学意义（P＞0．05）。（2）术后并发症发生率和疼痛目测类比评分，两组比较差异有统计学意义（P＜0．05）。结论：锁骨钩钢板治疗肩锁关节脱位临床效果更好，术后功能恢复良好，疼痛感小，并发症发生率较低，值得临床推广应用。
目的：觀察肩鎖關節鋼闆治療肩鎖關節脫位的臨床效果。方法：選擇肩鎖關節脫位患者96例，隨機分配為兩組，其中47例採用肩鎖關節剋氏針張力帶內固定治療，49例採用鎖骨鉤鋼闆內固定治療。隨訪6～12月，比較兩組肩關節功能恢複優良率以及併髮癥髮生情況等，評價臨床治療效果。結果：（1）鎖骨鉤鋼闆組患者肩關節功能恢複優良率為93．8％，張力帶組患者肩關節功能恢複優良率為82．9％。兩組比較差異有統計學意義（P＞0．05）。（2）術後併髮癥髮生率和疼痛目測類比評分，兩組比較差異有統計學意義（P＜0．05）。結論：鎖骨鉤鋼闆治療肩鎖關節脫位臨床效果更好，術後功能恢複良好，疼痛感小，併髮癥髮生率較低，值得臨床推廣應用。
목적：관찰견쇄관절강판치료견쇄관절탈위적림상효과。방법：선택견쇄관절탈위환자96례，수궤분배위량조，기중47례채용견쇄관절극씨침장력대내고정치료，49례채용쇄골구강판내고정치료。수방6～12월，비교량조견관절공능회복우량솔이급병발증발생정황등，평개림상치료효과。결과：（1）쇄골구강판조환자견관절공능회복우량솔위93．8％，장력대조환자견관절공능회복우량솔위82．9％。량조비교차이유통계학의의（P＞0．05）。（2）술후병발증발생솔화동통목측류비평분，량조비교차이유통계학의의（P＜0．05）。결론：쇄골구강판치료견쇄관절탈위림상효과경호，술후공능회복량호，동통감소，병발증발생솔교저，치득림상추엄응용。
Objective:To investigate the clinical therapeutic effects of clavicular hook plate treatment on acromioclavicular joint dislocation.Methods:We chose 96 patients with acromioclavicular joint dislocation.They were randomized into two groups including acromioclavicular joint tension band group(47 pa-tients)with tension band treatment and clavicular hook plate group (49 patients)with clavicular hook plate treatment.Followed up for 6 to 12 months.The therapeutic effects and adverse effects of both groups were compared.Results:(1)The excellent and good rate of clavicular hook plate group were signifi-cantly better than tension band group(P<0.05).(2)The incidence of postoperative complications and visual analog scale of pain grade of clavicular hook plate group were also significantly better than tension band group(P<0.05).Conclusion:The clavicular hook plate treatment on acromioclavicular joint dis-location can improve the shoulder function effectively,and have few postoperative complication and pain.The clavicular hook plate treatment is Worthy of clinical popularization and application.
