锁骨钩钢板及涤纶带重建喙锁韧带治疗肩锁关节脱位术后功能恢复相关分析.docVIP

精品论文 参考文献 锁骨钩钢板及涤纶带重建喙锁韧带治疗肩锁关节脱位术后功能恢复相关分析 王勇 　　双流县第一人民医院骨外科 四川成都 610200 　　[摘要]目的 探讨锁骨钩钢板内固定和涤纶带重建喙锁韧带治疗肩锁关节脱位术后功能恢复的相关因素。方法 对2009年1月-2014年8月收治的70例RockwoodⅢ型以上肩锁关节脱位的70名患者随机分为锁骨钩钢板内固定组和涤纶带重建喙锁韧带组各35例。术后采用Constant肩关节功能评分对肩锁关节的恢复进行定量评分。记录患者的手术方式、住院费用、并发症和依从性等，分析功能恢复与以上因素的相关性。结果 锁骨钢钩板内固定组的手术时间和住院费用分别是（67.8plusmn;11.2）分和（27103plusmn;1879）元，分别高于涤纶带重建喙锁韧带组的（55.3plusmn;8.9）分和（9822plusmn;1352）元（Plt;0.01）；术后6月涤纶带重建喙锁韧带组Constant肩关节功能评分[（90.4plusmn;4.3）分]高于锁骨钢钩板内固定组[（86.2plusmn;5.3）分]（Plt;0.05），但术后12月评分差别无统计学意义（Pgt;0.05）。根据依从性分组，依从组和部分依从组的Constant肩关节评分高于不依从组（Plt;0.05）。结论 锁骨钩钢板及涤纶带重建喙锁韧带是治疗肩锁关节脱位的有效方法，涤纶带重建喙锁韧带更有利于早期功能恢复。 　　[关键词] 肩锁关节脱位;锁骨钩钢板固定;涤纶带;功能恢复 　　[Abstract] Objective Objective to investigate the factors related to the functional recovery of the patients with dislocation of the shoulder joint dislocation treated by the internal fixation of the clavicle hook plate and the reconstruction of the.Methods Between January 2009 and August 2014, 70 patients with Rockwood type III or more than，70 patients with dislocation of the shoulder were treated in our hospital.The 35 cases were randomly divided into the group of clavicle hook plate fixation group and reconstruction of the ligament group of the bill with the pet belt.After the operation, the Constant shoulder function score was used to carry out the quantitative evaluation of the recovery of the shoulder joint. Record the operation mode, hospitalization expenses, complications and compliance of the patients, and analyze the correlation between the functional recovery and the above factors.Results Steel clavicular hook plate internal fixation group at the time of surgery and hospitalization costs were (67.8 + 11.2) and (27103 + 1879) yuan, respectively, higher than the polyester with reconstruction of the coracoclavicular ligaments of (+ 55.3 8.9) and 98.22 + 1352 yuan (P lt; 0.01); after 6 months of polyester with coracoclavicular reconstruction lock ligament group constant shoulder joint function score [(90.4 + 4.3)]