中国医师进修杂志
中國醫師進脩雜誌
중국의사진수잡지
CHINESE JOURNAL OF POSTGRADUATES OF MEDICINE
2015年
3期
163-167
,共5页
张会忠%练子荣%李殷%杨鉴
張會忠%練子榮%李慇%楊鑒
장회충%련자영%리은%양감
肩锁关节%肩脱位%双Endobutton技术
肩鎖關節%肩脫位%雙Endobutton技術
견쇄관절%견탈위%쌍Endobutton기술
Acromioclavicular joint%Shoulder dislocation%Double Endobutton technique
目的 评估比较TossyⅢ型肩锁关节脱位手术中应用双Endobutton技术与锁骨钩钢板(CHP)的近期疗效.方法 TossyⅢ型肩锁关节脱位149例患者,按治疗方法不同分为对照组(78例,应用CHP治疗)和观察组(71例,应用双Endobutton技术治疗).观察比较术后两组患者患肩疼痛视觉模拟评分(VAS)、外展上举及前屈上举活动度、Constant-Murley评分及Karlsson分级.结果 所有患者顺利完成手术,术后随访9 ～ 40(15.8±5.2)个月.术后9个月观察组患肩外展上举和前屈上举活动度分别为(100.9±13.3)°、(131.6± 13.4)°,对照组分别为(81.4±8.4)°、(96.7±10.9)°:观察组与对照组患肩VAS分别为(2.2±0.8)、(3.0±0.9)分,两组比较差异均有统计学意义(P＜0.01).观察组和对照组Constant-Mudey评分分别为(85.4±6.4)、(82.5±6.2)分,Karlsson分级优良率分别为84.5％(60/71)、91.0％(71/78),两组比较差异均无统计学意义(P＞0.05).结论 Tossy Ⅲ型肩锁关节脱位应用双Endobutton技术与CHP治疗的近期疗效相当.
目的 評估比較TossyⅢ型肩鎖關節脫位手術中應用雙Endobutton技術與鎖骨鉤鋼闆(CHP)的近期療效.方法 TossyⅢ型肩鎖關節脫位149例患者,按治療方法不同分為對照組(78例,應用CHP治療)和觀察組(71例,應用雙Endobutton技術治療).觀察比較術後兩組患者患肩疼痛視覺模擬評分(VAS)、外展上舉及前屈上舉活動度、Constant-Murley評分及Karlsson分級.結果 所有患者順利完成手術,術後隨訪9 ～ 40(15.8±5.2)箇月.術後9箇月觀察組患肩外展上舉和前屈上舉活動度分彆為(100.9±13.3)°、(131.6± 13.4)°,對照組分彆為(81.4±8.4)°、(96.7±10.9)°:觀察組與對照組患肩VAS分彆為(2.2±0.8)、(3.0±0.9)分,兩組比較差異均有統計學意義(P＜0.01).觀察組和對照組Constant-Mudey評分分彆為(85.4±6.4)、(82.5±6.2)分,Karlsson分級優良率分彆為84.5％(60/71)、91.0％(71/78),兩組比較差異均無統計學意義(P＞0.05).結論 Tossy Ⅲ型肩鎖關節脫位應用雙Endobutton技術與CHP治療的近期療效相噹.
목적 평고비교TossyⅢ형견쇄관절탈위수술중응용쌍Endobutton기술여쇄골구강판(CHP)적근기료효.방법 TossyⅢ형견쇄관절탈위149례환자,안치료방법불동분위대조조(78례,응용CHP치료)화관찰조(71례,응용쌍Endobutton기술치료).관찰비교술후량조환자환견동통시각모의평분(VAS)、외전상거급전굴상거활동도、Constant-Murley평분급Karlsson분급.결과 소유환자순리완성수술,술후수방9 ～ 40(15.8±5.2)개월.술후9개월관찰조환견외전상거화전굴상거활동도분별위(100.9±13.3)°、(131.6± 13.4)°,대조조분별위(81.4±8.4)°、(96.7±10.9)°:관찰조여대조조환견VAS분별위(2.2±0.8)、(3.0±0.9)분,량조비교차이균유통계학의의(P＜0.01).관찰조화대조조Constant-Mudey평분분별위(85.4±6.4)、(82.5±6.2)분,Karlsson분급우량솔분별위84.5％(60/71)、91.0％(71/78),량조비교차이균무통계학의의(P＞0.05).결론 Tossy Ⅲ형견쇄관절탈위응용쌍Endobutton기술여CHP치료적근기료효상당.
Objective To compare recent curative effect between double Endobutton technique and clavicular hook plate (CHP) in patients with Tossy grade Ⅲ acromioclavicular separation.Methods One hundred and forty-nine patients with Tossy grade Ⅲ acromioclavicular dislocation were divided into control group (78 cases,treated with CHP) and observation group (71 cases,treated with double Endobutton technique) according to treatment method.The postoperative injured shoulder visual analogue score (VAS),abduction-rise activity and flexion-rise activity,Constant-Murley score and Karlsson grade were compared between 2 groups.Results All the patients successfully completed the operation,and the postoperative follow-up time was 9-40 (15.8 ± 5.2) months.The injured shoulder abduction-rise activity and flexion-rise activity postoperative 9 months in observation group were (100.9 ± 13.3)° and (131.6 ± 13.4)°,in control group were (81.4 ± 8.4)° and (96.7 ± 10.9)°; the injured shoulder VAS in observation group and control group were (2.2-± 0.8) and (3.0 ± 0.9) scores,and there were statistical differences between 2 groups (P ＜ 0.01).The Constant-Murley score in observation group and control group were (85.4 ± 6.4) and (82.5 ± 6.2) scores,the excellent and good rate of Karlsson grade in observation group and control group were 84.5％(60/71),91.0％ (71/78),and there were no statistical differences (P ＞ 0.05).Conclusions The recent curative effect of double Endobutton technique and CHP in patients with Tossy grade Ⅲ acromioclavicular separation is similar.
