肩锁关节Ⅲ度脱位保守及手术治疗效果比较.docVIP

精品论文 参考文献 肩锁关节Ⅲ度脱位保守及手术治疗效果比较 薛建光1 陈永艳1 张飞小2 　　( 1内蒙古包头市石拐区医院;2内蒙古鄂尔多斯市中医医院) 　　【摘要】目的 降低肩锁关节Ⅲ度脱位后肩关节致残率。方法 对我院病人采用监控记录表进行保守与手术疗效评估比较，2008年12月~2013年10月患者共138例，将其中行保守治疗的68例设为对照组，实施手术的70例设为观察组，对照组采用传统手法整复后绷带8字捆扎固定、肩锁固定带捆扎固定方法 ，观察组采取了锁骨钩钢板、肩锁关节脱位的静力和动力重建手术。结果 两组术后愈后恢复情况比较,有显著的差异性(P＜0.05)。结论 对肩锁关节Ⅲ度脱位采取手术，能有效降低肩锁关节Ⅲ度脱位后肩关节致残率。 　　【关键词】　肩锁关节Ⅲ度脱位 保守治疗 手术治疗 　　【中图分类号】R274.21 【文献标识码】A 【文章编号】1672-5085（2013）40-0011-02 　　Degree Ⅲ acromioclavicular joint dislocation comparing conservative and surgical treatment 　　Author: Xue Jianguang Chen Yongyan Shiguai hospital Inner Mongolia Baotou City, 　　Zhang Feixiao Chinese medical hospital Inner Mongolia Erdos City 　　【Abstract】　Objective: To reduce the degree Ⅲ acromioclavicular joint dislocation of the shoulder disability. Methods: The records of patients hospital with monitoring to assess the efficacy of conservative surgery table compared with December 2008 - October 2013 a total of 138 cases of patients, which will be treated conservatively set of 68 cases in the control group, 70 cases of surgery observation group, the control group using traditional manipulative bandage after 8 characters bundled fixed, fixed straps acromioclavicular fixation methods, observation group took the clavicular hook plate, acromioclavicular joint dislocation of static and dynamic reconstruction surgery. Results: Postoperative recovery after healing comparison, there were significant differences (P lt;0.05). Conclusion: The degree Ⅲ acromioclavicular joint dislocation take surgery, can effectively reduce the degree Ⅲ acromioclavicular joint dislocation of the shoulder disability. 　　【Key words】　degree Ⅲ acromioclavicular joint dislocation surgical treatment of non-surgical treatment 　　肩锁关节脱位是常见损伤之一，体征:局部肿胀，锁骨远端隆起，肩锁关节处可扪及一凹沟，琴键征阳性，被动活动锁骨远端，上下活动范围增加。术前X线检查可确诊。传统以保守治疗为主，但对于肩锁关节Ⅲ度脱位的疗效不佳。目前肩锁关节脱位按Allman法可分为Ⅲ度:Ⅰ度：肩锁关节囊、肩锁韧带部分断裂，肩锁关节尚稳定;Ⅱ度：肩锁关节囊及肩锁韧带全部断裂，而喙锁韧带完整，出现前后向不稳;Ⅲ度：肩锁