双Endobutton钢板与锁骨钩钢板治疗肩锁关节脱位临床疗效对比研究.docVIP

双Endobutton钢板与锁骨钩钢板治疗肩锁关节脱位临床疗效对比研究 　　【摘要】 目的：探讨双Endobutton钢板与锁骨钩钢板治疗肩锁关节脱位的临床效果。方法：回顾性分析2014年1月-2017年1月本科室分别应用双Endobutton钢板与锁骨钩钢板治疗肩锁关节脱位的患者26例。按照手术方式分为双Endobutton钢板组（A组）14例，和锁骨钩钢板组（B组）12例。比较两组手术时间及术中出血量，术前与术后6个月均采用疼痛视觉模拟评分（VAS）、Constant评分对两组肩关节功能进行评价。结果：26例患者均获得随访，A组手术时间、术中出血量均多于B组，比较差异有统计学意义（P0.05）。结论：双Endobutton钢板与锁骨钩钢板在治疗肩锁关节脱位有各自优缺点均取得满意疗效，但是双Endobutton钢板术后肩周疼痛、肩峰撞击等并发症少，对肩关节活动影响小，有利于肩关节功能恢复。 　　【关键词】 肩锁关节脱位； 双Endobutton钢板； 锁骨钩钢板 　　【Abstract】 Objective：To investigate the clinical efficacy of double Endobutton plate and clavicular hook plate in treatment of acromioclavicular joint dislocation.Method：26 cases of acromioclavicular dislocation from January 2014 to January 2017 were treated by double Endobutton plate and clavicular hook plate were retrospectively analyzed.According to the operation mode，they were divided into 14 cases of double Endobutton plate group（group A），and 12 cases of clavicular hook plate group（group B）.The operation time and intraoperative blood loss were compared between two groups，and visual analogue scale（VAS） and constant score were used to evaluate shoulder function scores of two groups before and 6 months after operation.Result：26 patients were followed up，the operation time and bleeding volume in group A were more than those of group B，the differences were statistically significant（P0.05）.Conclusion：Double Endobutton plate and clavicular hook plate in treatment of acromioclavicular joint dislocation have their respective advantages and disadvantages are satisfactory，but double Endobutton plate of postoperative shoulder pain，impingement complications，little influence on activity of the shoulder joint，is conducive to the recovery of shoulder joint function. 　　【Key words】 Acromioclavicular joint dislocation； Double Endobutton plate； Clavicular hook plate 　　First-author’s address：The First Affiliated Hospital of Gannan Medical College，Ganzhou 341000，China 　　doi：10.3969/j.issn.1674-4985.2017.33.011 　　肩?i关节是由锁骨的肩峰端和肩胛骨的肩峰关节面、关节滑囊、纤