CAJ | 학술논문

目的：对锁骨钩钢板治疗肩锁关节脱位的临床疗效进行分析。方法对于2013年8月～2014年5月期间在我院接受锁骨钩钢板治疗的41例肩锁关节脱位患者的手术资料进行回顾性分析，并分析总结手术治疗方法以及临床效果。结果术后一周有1例患者因癫痫发作使尖钩滑出而出现再次脱位的现象，其余患者未见钢板松动断裂或者肩锁关节半脱位现象，手术治疗后按Lazzcano评定标准优良率为92.7%，患者术后恢复良好。结论锁骨钩钢板治疗肩锁关节脱位具有显著的临床疗效，并且具有手术简单、复位优良、并发症少等诸多优点，值得在治疗肩锁关节脱位的临床实践中进行广泛应用。
목적：대쇄골구강판치료견쇄관절탈위적림상료효진행분석。방법대우2013년8월～2014년5월기간재아원접수쇄골구강판치료적41례견쇄관절탈위환자적수술자료진행회고성분석，병분석총결수술치료방법이급림상효과。결과술후일주유1례환자인전간발작사첨구활출이출현재차탈위적현상，기여환자미견강판송동단렬혹자견쇄관절반탈위현상，수술치료후안Lazzcano평정표준우량솔위92.7%，환자술후회복량호。결론쇄골구강판치료견쇄관절탈위구유현저적림상료효，병차구유수술간단、복위우량、병발증소등제다우점，치득재치료견쇄관절탈위적림상실천중진행엄범응용。
Objective Clinical effect of clavicular hook plate in treatment of acromioclavicular dislocation is to be observed and analyzed. Methods Review and analyze surgical treatment data selected from 41 patients of acromioclavicular dislocation who are treated with clavicular hook plate treatment in hospital from August 2013 to May 2014 and then summarize surgical treatment approach and its clinical effect. Results One case of patient have a re-dislocation incidence because the clavicular hook dropped caused by epilepsy attack,and there is no any other case of plate loose or broke incidence or dislocation incidence; the post-surgical treatment efficiency rate is up to 92.7% according to Lazzcano assessment standard and patients have a favorable recovery after treatment. Conclusion Clavicular hook plate is of clinical efficacy in treatment of acromioclavicular dislocation; it is easy to operate,and effective to relocate dislocation with few surgery complications; thus,such a treatment approach is quite worthwhile to be clinically promoted and applied.