带袢钢板和锁骨钩钢板治疗锁骨远端骨折合并肩锁关节脱位的效果  

Effect of Loop Steel Plate and Clavicular Hook Steel Plate in the Treatment of Distal Clavicular Fracture Combined with Acromioclavicular Dislocation

作　　者：奚秀峰 XI Xiufeng(Tongzhou District People's Hospital,Nantong City,Nantong 226300,China)

机构地区：[1]南通市通州区人民医院,江苏南通226300

出　　处：《中外医学研究》2024年第35期55-58,共4页CHINESE AND FOREIGN MEDICAL RESEARCH

摘　　要：目的:比较带袢钢板和锁骨钩钢板治疗锁骨远端骨折合并肩锁关节脱位的效果。方法:选取2019年3月—2023年3月南通市通州区人民医院骨科收治的70例肩锁关节脱位合并锁骨远端骨折患者作为研究对象。根据随机信封法将其分为对照组和观察组,各35例。对照组给予锁骨钩钢板治疗,观察组给予带袢钢板治疗。比较两组围手术期指标,肩关节功能,术前、术后第3个月、第6个月及12个月肩关节疼痛及肩关节活动度。结果:观察组切口长度和住院时间均短于对照组,手术时间长于对照组,差异有统计学意义(P<0.05)。观察组优良率为94.29%,显著高于对照组的77.14%,差异有统计学意义(P<0.05)。术后第3个月、第6个月及第12个月,观察组视觉模拟评分法(VAS)评分低于对照组,差异有统计学意义(P<0.05)。术后第3个月、第6个月及第12个月,观察组前屈上举、外展上举活动度均高于对照组,差异有统计学意义(P<0.05)。结论:肩锁关节脱位及锁骨远端骨折患者给予带袢钢板治疗,近期和远期肩关节活动度和肩关节功能优于锁骨钩钢板,且术后疼痛感更轻。Objective:To compare the effect of loop steel plate and clavicular hook steel plate in the treatment of distal clavicular fracture combined with acromioclavicular dislocation.Method:A total of 70 patients with acromioclavicular dislocation combined with distal clavicular fracture admitted to the Department of Orthopedics of Tongzhou District People's Hospital,Nantong City from March 2019 to March 2023 were selected as the study objects.According to the random envelope method,they were divided into control group and observation group,35 cases in each group.The control group was treated with clavicular hook steel plate,and the observation group was treated with loop steel plate.Perioperative indexes,shoulder joint function,shoulder joint pain and shoulder joint motion before surgery,at 3 months,6 months and 12 months after surgery were compared between the two groups.Result:The incision length and hospital stay in the observation group were shorter than those in the control group,and the operation time was longer,the differences were statistically significant(P<0.05).The excellent and good rate of observation group was 94.29%,which was significantly higher than 77.14%of control group,and the difference was statistically significant(P<0.05).The visual analogue scale(VAS)scores of the observation group were lower than those of the control group at 3 months,6 months and 12 months after surgery,and the difference was statistically significant(P<0.05).At 3 months,6 months and 12 months after surgery,the activities of forward bend upward lift and abduction upward lift in the observation group were higher than those in the control group,and the difference was statistically significant(P<0.05).Conclusion:In patients with acromioclavicular dislocation and distal clavicular fracture,the treatment of loop steel plate is superior to clavicular hook plate for short and long term on shoulder motion and shoulder joint function,and the postoperative pain is less.

关 键 词：带袢钢板 锁骨钩钢板 锁骨远端骨折 肩锁关节脱位 

分 类 号：R68[医药卫生—骨科学]