微创双切口结合双带袢钢板固定技术治疗完全型肩锁关节脱位  

Two-incision Minimally Invasive Combined with Double Steel Plate with Ansa in the Treatment of Complete Acromioclavicular Joint Dislocation

作　　者：何文江[1] 黄小顺[1] 刘传芳[1] 钟志[1] HE Wen-jiang HUANG Xiao-shun LIU Chuan-fang et al(Meizhon City Hospital of Traditional Chinese Medicine, Meizhou 514071, China)

机构地区：[1]广东省梅州市中医医院,广东梅州514071

出　　处：《中国医学创新》2017年第7期20-23,共4页Medical Innovation of China

基　　金：梅州市医药卫生科研课题(2016-B-9)

摘　　要：目的:研究微创双切口结合双带袢钢板固定技术对完全型肩锁关节脱位患者的临床疗效。方法:选择2014年4月-2015年11月来本院就诊的完全型肩锁关节脱位患者共48例。按照随机数字表法,将48例患者分为观察组(微创双切口结合双带袢钢板固定技术)和对照组(锁骨钩钢板技术),每组24例。比较两组患者术中切口长度、出血量、恢复工作时间、肩部肩关节活动度、复位丢失情况及随访出院后Constant评分。结果:观察组术中平均出血量(63.91±7.65)m L、平均切口长度(4.12±0.54)cm、平均恢复工作时间(15.43±6.43)min、外展上举度(136.49±12.43)°、前屈上举度(142.52±9.59)°、复位丢失(0.96±0.18)mm及Constant评分(85.45±8.32)分,对照组以上各指标分别为(97.67±9.08)m L、(7.43±0.43)cm、(17.65±9.87)min、(96.23±8.65)°、(92.45±8.65)°、(1.23±0.34)mm、(76.65±7.87)分,两组相应指标相比差异均有统计学意义(P<0.05)。结论:微创双切口结合双带袢钢板固定技术对完全型肩锁关节脱位患者具有较好的临床结局,且术中切口长度、出血量、恢复工作时间、肩部活动度、复位丢失及随访后Constant评分情况均较有优势,利于患者快速康复。Objective： To study the efficacy of two-incision minimally invasive combined with double steel plate with ansa in the treatment of complete acromioclavicular joint dislocation.Method： 48 cases with complete acromioclavicular joint dislocation were selected admitted to our hospital from April 2014 to November 2015. According to the random number table method, they were divided into control group （ clavicular hook plate ） and observation group （ two-incision minimally invasive combined with double steel plate with ansa plate fixation ）, 24 cases in each group.The incision length, blood loss during operation, recovery time, shoulder activity degree, loss of reduction, Constant scores after discharge were compared between the two groups.Result： In observation group the blood loss was （ 63.91 ± 7.65 ） mL, incision length was （ 4.12 ± 0.54 ） mm, recovery time was （ 15.43 ± 6.43 ） rain, lift on outreach degrees was （ 136.49 ± 12.43 ） °, lift on forward bends degrees was （ 142.52 ± 9.59 ） °, loss of reduction was （ 0.96 ± 0.18 ） mm, Constant scores was （ 85.45 ± 8.32 ） score, in control group corresponding index were respectively （ 97.67± 9.08 ） mL, （ 7.43 ± 0.43 ） mm, （ 17.65 ± 9.87 ） min, （96.23 ± 8.65 ） °, （ 92.45 ±8.65 ） °, （ 1.23 ±0.34 ） mm, （76.65 ± 7.87 ） score, the differences were statistically significant （P〈0.05） .Conclusion： It has good efficacy of two-incision minimally invasive combined with double steel plate with ansa in the treatment of complete acromioelavicular joint dislocation, all of the above indicators are better, can conducive to rapid recovery of patients.

关 键 词：微创双切口 双带袢钢板 锁骨钩钢板 完全型肩锁关节脱位 

分 类 号：R687.4[医药卫生—骨科学]