肩锁关节脱位患者行锁骨钩钢板内固定术治疗后并发肩峰下撞击综合征的危险因素  

Risk Factors for Subacromial Impingement Syndrome in Acromioclavicular Joint Dislocation Patients after Clavicular Hook Plate Internal Fixation

作　　者：刘素珍 郑秀治 林秀娟 林正龙 LIU Suzhen;ZHENG Xiuzhi;LIN Xiujuan;LIN Zhenglong(Putian 95 Hospital,Putian 351100,China;不详)

机构地区：[1]莆田九十五医院,福建莆田351100

出　　处：《中外医学研究》2024年第31期145-148,共4页CHINESE AND FOREIGN MEDICAL RESEARCH

基　　金：莆田市科技计划项目(2023SJ004)。

摘　　要：目的:分析肩锁关节脱位患者行锁骨钩钢板内固定术后肩峰下撞击综合征(SIS)发生的危险因素。方法:选取2021年8月—2023年8月莆田九十五医院收治的80例肩锁关节脱位患者作为研究对象,均行锁骨钩钢板内固定术,统计术后SIS发生情况,单因素与logistic回归分析锁骨钩钢板内固定术后SIS发生影响因素。结果:80例行锁骨钩钢板内固定术的肩锁关节脱位患者,术后13例(16.25%)发生SIS。单因素分析显示:肩峰分型、肩峰指数、喙锁间隙、肩峰-肱骨头间距与患者术后SIS的发生有关(P<0.05)。logistic回归分析结果显示:斜坡型肩峰、肩峰指数大、喙锁间隙小、肩峰-肱骨头间距小为肩锁关节脱位患者锁骨钩钢板内固定术后SIS发生的独立危险因素(P<0.05)。结论:斜坡型肩峰、肩峰指数大、喙锁间隙小、肩峰-肱骨头间距小为肩锁关节脱位患者锁骨钩钢板内固定术后SIS发生的独立危险因素。Objective:To analyze the risk factors of subacromial impingement syndrome(SIS)in acromioclavicular joint dislocation patients after clavicular hook plate internal fixation.Method:A total of 80 patients with acromioclavicular joint dislocation admitted to Putian 95 Hospital from August 2021 to August 2023 were selected as the research objects,all patients were underwent clavicular hook plate internal fixation,the occurrence of SIS after operation was counted,univariate and logistic regression analysis were used to analyze the influencing factors of SIS after clavicular hook plate internal fixation.Result:Among 80 patients with acromioclavicular joint dislocation who underwent clavicular hook plate internal fixation,SIS occurred in 13 cases(16.25%)after operation.Univariate analysis showed that acromion classification,acromion index,coracoclavicular space and acromion-humeral head spacing were related to the occurrence of postoperative SIS(P<0.05).logistic regression analysis showed that clival acromion,large acromion index,small coracoclavicular space and small acromion-humeral head spacing were independent risk factors for SIS after clavicular hook plate internal fixation in patients with acromioclavicular joint dislocation(P<0.05).Conclusion:Clival acromion,large acromion index,small coracoclavicular space and small acromion-humeral head spacing are independent risk factors for SIS after clavicular hook plate internal fixation in patients with acromioclavicular joint dislocation.

关 键 词：肩锁关节脱位 肩峰下撞击综合征 危险因素 

分 类 号：R687.4[医药卫生—骨科学]