中国医药导报
中國醫藥導報
중국의약도보
CHINA MEDICAL HERALD
2015年
12期
25-28
,共4页
锁骨钩钢板%锁骨外侧延伸端锁定接骨板%NeerⅡ型锁骨远端骨折
鎖骨鉤鋼闆%鎖骨外側延伸耑鎖定接骨闆%NeerⅡ型鎖骨遠耑骨摺
쇄골구강판%쇄골외측연신단쇄정접골판%NeerⅡ형쇄골원단골절
Clavicular hook plate%Clavicle extending end locking plate%NeerII distal clavicle fracture
目的：比较锁骨钩钢板与锁骨外侧延伸端锁定接骨板治疗NeeⅡ型锁骨远端骨折的临床效果。方法将上海交通大学医学院附属同仁医院2010年3月~2014年8月收治的35例NeerⅡ型锁骨远端骨折患者分为A组（20例）与B组（15例），A组采用锁骨钩钢板进行治疗，B组采用锁骨外侧延伸端锁定接骨板进行治疗，比较两组并发症发生情况及Constant-Murley肩关节功能评分。结果 A组术后发生切口感染与内固定松动各1例，B组未发生，而B组的肩部疼痛与活动受限发生率显著低于A组，差异有高度统计学意义（P<0.01）。术后1年Constant-Murley评分结果显示，两组外展与外旋两项评分差异无统计学意义（P>0.05），B组疼痛程度、活动水平、前屈、内旋、肌力评分及Constant-Murley总分均显著高于A组，差异均有统计学意义（均P<0.05）。A组优良率为75.0%，B组为86.7%，B组显著高于A组，差异有高度统计学意义（P<0.01）。结论锁骨外侧延伸端锁定接骨板治疗NeerⅡ型锁骨远端骨折较锁骨钩钢板更为可靠、有效。
目的：比較鎖骨鉤鋼闆與鎖骨外側延伸耑鎖定接骨闆治療NeeⅡ型鎖骨遠耑骨摺的臨床效果。方法將上海交通大學醫學院附屬同仁醫院2010年3月~2014年8月收治的35例NeerⅡ型鎖骨遠耑骨摺患者分為A組（20例）與B組（15例），A組採用鎖骨鉤鋼闆進行治療，B組採用鎖骨外側延伸耑鎖定接骨闆進行治療，比較兩組併髮癥髮生情況及Constant-Murley肩關節功能評分。結果 A組術後髮生切口感染與內固定鬆動各1例，B組未髮生，而B組的肩部疼痛與活動受限髮生率顯著低于A組，差異有高度統計學意義（P<0.01）。術後1年Constant-Murley評分結果顯示，兩組外展與外鏇兩項評分差異無統計學意義（P>0.05），B組疼痛程度、活動水平、前屈、內鏇、肌力評分及Constant-Murley總分均顯著高于A組，差異均有統計學意義（均P<0.05）。A組優良率為75.0%，B組為86.7%，B組顯著高于A組，差異有高度統計學意義（P<0.01）。結論鎖骨外側延伸耑鎖定接骨闆治療NeerⅡ型鎖骨遠耑骨摺較鎖骨鉤鋼闆更為可靠、有效。
목적：비교쇄골구강판여쇄골외측연신단쇄정접골판치료NeeⅡ형쇄골원단골절적림상효과。방법장상해교통대학의학원부속동인의원2010년3월~2014년8월수치적35례NeerⅡ형쇄골원단골절환자분위A조（20례）여B조（15례），A조채용쇄골구강판진행치료，B조채용쇄골외측연신단쇄정접골판진행치료，비교량조병발증발생정황급Constant-Murley견관절공능평분。결과 A조술후발생절구감염여내고정송동각1례，B조미발생，이B조적견부동통여활동수한발생솔현저저우A조，차이유고도통계학의의（P<0.01）。술후1년Constant-Murley평분결과현시，량조외전여외선량항평분차이무통계학의의（P>0.05），B조동통정도、활동수평、전굴、내선、기력평분급Constant-Murley총분균현저고우A조，차이균유통계학의의（균P<0.05）。A조우량솔위75.0%，B조위86.7%，B조현저고우A조，차이유고도통계학의의（P<0.01）。결론쇄골외측연신단쇄정접골판치료NeerⅡ형쇄골원단골절교쇄골구강판경위가고、유효。
Objective To compare the clinical effect of clavicular hook plate and clavicle extending end locking plate for the treatment of NeerII type distal clavicle fracture. Methods Thirty five cases of patients with NeerII distal clavi-cle fractures admitted to Tongren Hospital Affiliated to School of Medicine, Shanghal Jiaotong University from March 2010 to August 2014 were divided into group A (20 cases) and group B (15 cases), group A was treated with clavicular hook plate, while group B was treated by clavicle extending end locking plate, then the incidence of complications and the Constant-Murley shoulder joint functional scores of the two groups were compared. Results After operation, each of incision infection and the internal fixation had 1 case in the group A, no case occurred in group B. The incidence of shoulder paln and activity limitation of group B were much lower than group A, the difference was statistically signifi-cant (P<0.01). The scores of Constant-Murley at one year after operation showed, the scores of abduction and external rotation between the two groups had no statistically significant differences (P>0.05), but the scores of paln degree, ac-tivity level, anteflexion, internal rotation, myodynamia and the total score of Constant-Murley of group B were much higher than those of group A, the differences were statistically significant (P< 0.05). The excellent and good rate of group A was 75.0%, which of the group B was 86.7%, the group B was higher than group A, the difference was statisti-cally significant (P<0.01). Conclusion The clavicle extending end locking plate for the treatment of NeerII type dis-tal clavicle fracture is more reliable and effective.
