中国基层医药
中國基層醫藥
중국기층의약
CHINESE JOURNAL OF PRIMARY MEDICINE AND PHARMACY
2013年
6期
810-812
,共3页
肩锁关节%脱位%骨板
肩鎖關節%脫位%骨闆
견쇄관절%탈위%골판
Acromioclavicular joint%Dislocation%Bone plate
目的 比较改良Weaver-Dunn法与AO锁骨钩钢板治疗肩锁关节完全脱位的疗效.方法 手术治疗RockwoodⅢ～V型肩锁关节脱位35例,根据手术方式不同,分为改良Weaver-Dunn法与AO锁骨钩钢板两组,观察比较两组手术时间、失血量、住院费用、术后X线片结果、临床疗效结果及并发症.结果 35例全部得到随访,随访时间16～73周,平均28周.B组手术时间、术中出血量分别为(60.5±14.7) min、(98.2±8.2)ml,明显低于A组的(98.4±25.2) min、(165.4±10.3)ml(=2.465、2.693,均P＜0.05).采用视觉模拟标尺评分(VSA),两组术后1周疼痛VSA评分分别为(2.9±0.8)分、(2.7±0.9)分,差异无统计学意义(P＞0.05)；两组住院费用分别为(11 626.0±858.5)元、(7 018.0±745.8)元,差异有统计学意义(t=2.812,P＜0.05).术后随访,两组肩部疼痛、关节活动受限、切口感染、复位丢失等并发症发生情况差异均无统计学意义(均P ＞0.05).采用Karlsson评定标准,A组优10例,良4例,差1例,优良率93％；B组优8例,良7例,差5例,优良率75％.结论 改良Weaver-Dunn法治疗完全型肩锁关节脱位,术后肩关节疼痛及肩关节活动受限发生率低,肩关节功能康复效果好.
目的 比較改良Weaver-Dunn法與AO鎖骨鉤鋼闆治療肩鎖關節完全脫位的療效.方法 手術治療RockwoodⅢ～V型肩鎖關節脫位35例,根據手術方式不同,分為改良Weaver-Dunn法與AO鎖骨鉤鋼闆兩組,觀察比較兩組手術時間、失血量、住院費用、術後X線片結果、臨床療效結果及併髮癥.結果 35例全部得到隨訪,隨訪時間16～73週,平均28週.B組手術時間、術中齣血量分彆為(60.5±14.7) min、(98.2±8.2)ml,明顯低于A組的(98.4±25.2) min、(165.4±10.3)ml(=2.465、2.693,均P＜0.05).採用視覺模擬標呎評分(VSA),兩組術後1週疼痛VSA評分分彆為(2.9±0.8)分、(2.7±0.9)分,差異無統計學意義(P＞0.05)；兩組住院費用分彆為(11 626.0±858.5)元、(7 018.0±745.8)元,差異有統計學意義(t=2.812,P＜0.05).術後隨訪,兩組肩部疼痛、關節活動受限、切口感染、複位丟失等併髮癥髮生情況差異均無統計學意義(均P ＞0.05).採用Karlsson評定標準,A組優10例,良4例,差1例,優良率93％；B組優8例,良7例,差5例,優良率75％.結論 改良Weaver-Dunn法治療完全型肩鎖關節脫位,術後肩關節疼痛及肩關節活動受限髮生率低,肩關節功能康複效果好.
목적 비교개량Weaver-Dunn법여AO쇄골구강판치료견쇄관절완전탈위적료효.방법 수술치료RockwoodⅢ～V형견쇄관절탈위35례,근거수술방식불동,분위개량Weaver-Dunn법여AO쇄골구강판량조,관찰비교량조수술시간、실혈량、주원비용、술후X선편결과、림상료효결과급병발증.결과 35례전부득도수방,수방시간16～73주,평균28주.B조수술시간、술중출혈량분별위(60.5±14.7) min、(98.2±8.2)ml,명현저우A조적(98.4±25.2) min、(165.4±10.3)ml(=2.465、2.693,균P＜0.05).채용시각모의표척평분(VSA),량조술후1주동통VSA평분분별위(2.9±0.8)분、(2.7±0.9)분,차이무통계학의의(P＞0.05)；량조주원비용분별위(11 626.0±858.5)원、(7 018.0±745.8)원,차이유통계학의의(t=2.812,P＜0.05).술후수방,량조견부동통、관절활동수한、절구감염、복위주실등병발증발생정황차이균무통계학의의(균P ＞0.05).채용Karlsson평정표준,A조우10례,량4례,차1례,우량솔93％；B조우8례,량7례,차5례,우량솔75％.결론 개량Weaver-Dunn법치료완전형견쇄관절탈위,술후견관절동통급견관절활동수한발생솔저,견관절공능강복효과호.
Objective Comparison of the modified Weaver-Dunn method with AO clavicular hook plate for acromioclavicular joint dislocation efficacy.Methods Surgical treatment of Rockwood Ⅲ to the V Type acromioelavicular joint dislocation 35 cases,depending on the surgical approach,were divided into 2 groups of the modified Weaver-Dunn method and AO clavicular hook plate.Operation time,blood loss,hospitalization costs,postoperative Xray film results,the clinical efficacy results and complications were compared between two groups.Results Modified Weaver-Dunn method Section of the longer operative time,mean intraoperative blood loss more.Shoulder pain,the incidence of postoperative modified Weaver-Dunn method group is significantly lower than the AO clavicular hook plate group,abduction activity was better than AO clavicular hook plate group.AO clavicular hook plate group prone to shoulder mobility and shoulder pain.Postoperative Karlsson assessment standard,modified Weaver-Dunn method were excellent in 10,good in 4 cases and poor in 1,excellent rate was 93％ ;AO clavicular hook plate group were excellent in 8 cases,good in 7 cases and poor in 5 cases,excellent rate of 75 ％.Conclusion Modified Weaver-Dunn method is used to treat complete acromioclavicular joint dislocation.Postoperative shoulder pain and shoulder mobility are in low incidence of shoulder function recovery effect.
