锁骨钩钢板内固定治疗锁骨远端骨折并肩锁关节脱位的的疗效观察.docVIP

锁骨钩钢板内固定治疗锁骨远端骨折并肩锁关节脱位的的疗效观察 　　【摘要】 目的 观察锁骨钩钢板内固定治疗锁骨远端骨折并肩锁关节脱位的疗效。方法 46例锁骨远端骨折并肩锁关节脱位患者作为研究对象， 随机分为观察组和对照组， 各23例。观察组接受锁骨钩钢板内固定治疗， 对照组接受克氏针+张力带钢丝内固定手术治疗。比较两组患者的治疗效果。结果 观察组患者中显效11例， 有效10例， 无效2例， 总有效率为91.30%；对照组患者中显效10例， 有效5例， 无效8例， 总有效率65.22%；观察组患者治疗总有效率高于对照组， 差异具有统计学意义 （P0.05）。结论 锁骨钩钢板内固定治疗锁骨远端骨折并肩锁关节脱位疗效显著， 值得临床应用和推广。 　　【关键词】 锁骨钩钢板；锁骨远端骨折；肩锁关节脱位 　　DOI：10.14163/j.cnki.11-5547/r.2016.32.032 　　【Abstract】 Objective To observe curative effect by clavicular hook plate internal fixation in the treatment of distal collar bone fracture complicated with acromioclavicular dislocation. Methods A total of 46 patients of distal collar bone fracture complicated with acromioclavicular dislocation as study subjects were randomly divided into observation group and control group， with 23 cases in each group. The observation group received clavicular hook plate internal fixation for treatment， and the control group received Kirschner wire + tension band wire internal fixation surgery. Comparison was made on curative effects between the two groups. Results The observation group had 11 excellent cases， 10 effective cases and 2 ineffective cases， with total effective rate as 91.30%. The control had 10 excellent cases， 5 effective cases and 8 ineffective cases， with total effective rate as 65.22%. The observation group had higher total effective rate than the control group， and the difference had statistical significance （P0.05）. Conclusion Clavicular hook plate internal fixation shows precisely curative effect in the treatment of distal collar bone fracture complicated with acromioclavicular dislocation， and this method is worth clinical application and promotion. 　　【Key words】 Clavicular hook plate； Distal collar bone fracture； Acromioclavicular dislocation 　　直接暴力?е碌募绮克鹕酥凶钗?常见的是锁骨远端骨折和肩锁关节脱位， 二者多合并出现， 伴随韧带和软骨盘损伤， 保守治疗效果有限[1-4]。为了观察锁骨沟钢板内固定治疗锁骨远端骨折并肩锁关节脱位的疗效， 选择2014年10月～ 2016年8月在本院接受治疗的锁骨远端骨折并肩锁关节脱位患者46例作为研究对象进行分组临床研究， 现报告如下。 　　1 资料与方法 　　1. 1 一般资料 选择2014年10月～2016年8月在本院接受治疗的锁骨远