缝合喙锁韧带在锁骨钩钢板治疗肩锁关节脱位中的作用  

作　　者：阮国模[1] 苏忠良[1] 傅家兴[1] 郑俊[1] 

机构地区：[1]温州市第三人民医院骨科,325000

出　　处：《浙江临床医学》2007年第2期147-148,共2页Zhejiang Clinical Medical Journal

摘　　要：目的 比较锁骨钩钢板固定后缝合喙锁韧带和不缝合喙锁韧带两种方法治疗肩锁关节脱位的临床效果。方法 应用锁骨钩钢板固定并缝合喙锁韧带治疗肩锁关节脱位23例，锁骨钩钢板固定后不缝合喙锁韧带治疗肩锁关节脱位24例。随访18～62个月，平均37个月。比较两组在治疗效果、手术时间及手术失血量方面的差异。结果 42例获随访，按Karlsson疗效标准，韧带缝合组优18例（81．8％），可4例（18．2％）。韧带不缝合组优16例（80．0％），可4例（20．0％）。两组疗效差异无显著性。但是韧带缝合组在手术时间、手术失血量方面均较不缝合组多。结论 在锁骨钩钢板内固定治疗肩锁关节脱位手术中喙锁韧带的缝合不是必需的。Objective To compare the therapeutic effects between suturing coracoclavicular ligament and not suturing coracoclavieular ligament after clavicular hook plate fixation in treating acromioclavicular dislocation. Methods Suturing coracoclavicular ligament after clavicular hook plate fixation was applied in treating acromioclavicular dislocation in one group of 23 cases ; in the other group of 24 cases, the suturing was not applied . Patients were followed up for 18 - 62 months with the mean of 37 months . The therapeutic effects ,operation duration and intraoperative blood loss of the two groups were compared .Results 42 patients got followed up and evaluated according to Karlsson＇ s therapeutic effects criteria, in ligament suturing group , 18 cases（81.8% ）were excellent ,4 cases（18.2%） was good; in group without ligament suturing , 16 cases were excellent （80.0%）, 4 cases were good（20.0%）,there was no significant difference of therapeutic effects between the two groups , but in group of ligament suturing , the operation duration and intraoperative blood loss were mere than those in group without ligament suturing . Conlusion It is unnecessary to suture the coracoclavioular ligament after clavicular hook plate fixation in treating acromieclavicular dislocation.

关 键 词：肩锁关节脱位 锁骨钩钢板 喙锁韧带 

分 类 号：R687.3[医药卫生—骨科学]