锁骨钩钢板和克氏针张力带固定治疗肩锁关节脱位疗效分析.docVIP

锁骨钩钢板和克氏针张力带固定治疗肩锁关节脱位疗效分析 　　摘要：目的：探讨锁骨钩钢板与克氏针张力带固定治疗肩锁关节脱位的临床疗效。方法：选自2013年1月至2014年10月我院收治的肩锁关节脱位患者52例，将其随机分成2组，每组26例患者，分别命名为观察组和对照组。观察组患者给予锁骨钩钢板进行固定治疗，对照组患者给予克氏针张力带进行固定治疗。结果：观察组患者手术时间为61.43士1.39min，术中出血量为83.12士1.28ml，术后住院时间为16.21士1.29d，肩关节优良率为92.3%，术后并发症发生率为7.6%；对照组患者手术时间为74.56士1.59min，术中出血量为102.34士1.33ml，术后住院时间为19.43士1.49d，肩关节优良率为80.8%，术后并发症发生率为22.9%。观察组患者手术时间及术后住院时间短于对照组患者，肩关节优良率高于对照组患者，且术中出血量及术后并发症发病率低于对照组患者。结论：锁骨钩钢板固定治疗肩锁关节脱位疗效显著，该种治疗方法值得在临床上推广。 　　关键词：锁骨钩钢板；克氏针张力带；肩锁关节脱位 　　Abstract： Objective： To investigate the hook plate and wire tension band fixation clinical efficacy joint dislocation. Methods： selected from January 2013 to October 2014 52 cases of joint dislocation were admitted to our hospital were randomly divided into two groups of 26 patients， were named as the observation group and the control group. The observation group were treated with hook plate fixation treatment， the control group were treated with tension band fixation treatment. Results： The operation time was 61.43 persons 1.39min， blood loss was 83.12 persons 1.28ml， postoperative hospital stay was 16.21 persons 1.29d， good shoulder 92.3% postoperative complication rate of 7.6% ； surgery time of 74.56 in the control group with disabilities 1.59min， blood loss of 102.34 disabilities 1.33ml， postoperative hospital stay was 19.43 persons 1.49d， good shoulder was 80.8%， the incidence of postoperative complications was 22.9%. The observation group were operative time and postoperative hospital stay was shorter than the control group of patients， good rate was higher in patients with shoulder， and the blood loss and the incidence of postoperative complications than the control group patients. Conclusion： hook plate for joint dislocation significant effect， this type of treatment should be promoted in clinical practice. 　　Keywords： hook plate； tension band； dislocation 　　在临床上，肩锁关节脱位是骨科临床上的常见病，其主要的临床特征为患者肩部出现较为严重的疼痛感，部分患者疼痛难忍，对患者造成较大的影响。在针对于肩锁关节脱位的临床治疗中，主要采用手术治疗的方式，而手术固定方式不同，治疗效果也存在着很大的差异，对患者