锁骨钩钢板与锁骨钩钢板联合带线锚钉用于肩锁关节脱位的效果比较  

Clavicular hook plate fixation versus clavicular hook plate fixation combined with suture anchor technique for the treatment of acromioclavicular joint dislocation

作　　者：戴海东 沈军 Dai Haidong;Shen Jun(Department of Orthopedics,Zhoushan Hospital of Traditional Chinese Medicine,Zhoushan 316000,Zhejiang Province,China)

机构地区：[1]舟山市中医院骨科,浙江省316000

出　　处：《中国基层医药》2021年第5期690-693,共4页Chinese Journal of Primary Medicine and Pharmacy

基　　金：浙江省舟山市科技计划项目(2013C31609)。

摘　　要：目的比较锁骨钩钢板与锁骨钩钢板联合带线锚钉在肩锁关节脱位治疗中的应用价值。方法选取舟山市中医院骨科2015年7月至2018年2月治疗的肩锁关节脱位患者68例为研究对象,采用随机数字表法分为对照组、观察组各34例。观察组采用锁骨钩钢板联合带线锚钉固定治疗,对照组采用锁骨钩钢板固定治疗。观察两组手术治疗的效果,比较两组并发症发生率。结果观察组优良率为97.06%(33/34),高于对照组的76.47%(26/34),组间差异有统计学意义(χ^(2)=6.275,P<0.05)。观察组手术时间为(55.41±9.28)min,长于对照组的(45.69±12.54)min,组间差异有统计学意义(t=3.633,P<0.05)。观察组并发症发生率为2.94%(1/34),低于对照组的20.59%(7/34),组间差异有统计学意义(χ^(2)=5.100,P<0.05)。结论锁骨钩钢板联合带线锚钉固定治疗肩锁关节脱位,可取得较为理想的疗效,有操作简单、创伤小、并发症少以及固定牢靠等特点,效果优于锁骨钩钢板固定。Objective To compare the application value of clavicular hook plate fixation versus clavicular hook plate fixation combined with suture anchor technique in the treatment of acromioclavicular joint dislocation.Methods Sixty-eight patients with acromioclavicular joint dislocation who received treatment in Zhoushan Hospital of Traditional Chinese Medicine,China between July 2015 and February 2018 were included in this study.They were randomly assigned to receive clavicular hook plate fixation combined with suture anchor technique(observation group,n=34)or clavicular hook plate fixation(control group,n=34).Surgical efficacy was determined in each group and the incidence of complications was compared between the observation and control groups.Results The excellent and good rate of surgical efficacy in the observation group was significantly higher than that in the control group[97.06%(33/34)vs.76.47%(26/34),χ^(2)=6.275,P<0.05].The operation time in the observation group was significantly longer than that in the control group[(55.41±9.28)min vs.(45.69±12.54)min,t=3.633,P<0.05].The incidence rate of complications in the observation group was significantly lower than that in the control group[2.94%(1/34)vs.20.59%(7/34),χ^(2)=5.100,P<0.05].Conclusion Clavicular hook plate fixation combined with suture anchor technique for the treatment of acromioclavicular joint dislocation can achieve ideal curative effects.This surgical method has the features including simple operation,little trauma,few complications,and firm fixation.Its surgical efficacy is more superior to that of clavicular hook plate fixation.

关 键 词：肩锁关节 肩脱位 骨固定钢丝 锁骨钩钢板 带线锚钉 疗效比较研究 

分 类 号：R687.3[医药卫生—骨科学]