鎖骨鉤鋼板內固定與聯合肌腱轉位喙鎖韌帶重建術治療肩鎖關節(jié)脫位術后功能效果比較研究

林勤

【摘要】 目的：比較分析鎖骨鉤鋼板內固定與聯合肌腱轉位喙鎖韌帶重建術治療肩鎖關節(jié)脫位術后的功能效果。方法：將2014年8月-2016年

2月來筆者所在醫(yī)院就診的60例Allman Ⅲ度肩鎖關節(jié)脫位患者作為此次研究的對象，隨機分為兩組，每組30例。對照組行鎖骨鉤鋼板內固定手術治療，研究組給予鎖骨鉤鋼板內固定與聯合肌腱轉位喙鎖韌帶重建術治療，比較兩種方法對患者的臨床療效。結果：術后1年隨訪，兩組患者均未出現復發(fā)脫位情況，依據Lazzcano評價標準，研究組、對照組的優(yōu)良率分別是96.66%、70.00%，且研究組JOA評分顯著優(yōu)于對照組，差異均有統(tǒng)計學意義（P<0.05）。結論：給予肩鎖關節(jié)脫位患者實施鎖骨鉤鋼板內固定與聯合肌腱轉位喙鎖韌帶重建術治療，均取得了良好的效果，且后者效果較優(yōu)，可對其進行推廣使用。

【關鍵詞】 鎖骨鉤鋼板內固定； 肌腱轉位； 喙鎖韌帶重建術； 肩鎖關節(jié)脫位

doi：10.14033/j.cnki.cfmr.2017.32.006 文獻標識碼 B 文章編號 1674-6805（2017）32-0013-02

Comparative Study of Clavicular Hook Plate Fixation Combined with Tendon Transposition and Reconstruction of Acromioclavicular Ligament for Acromioclavicular Joint Dislocation/LIN Qin.//Chinese and Foreign Medical Research，2017，15（32）：13-14

【Abstract】 Objective：To analyze the effect of clavicular hook plate fixation combined with tendon transposition and ligament reconstruction for acromioclavicular joint dislocation after operation.Method：60 patients with Allman Ⅲ acromioclavicular joint dislocation treated in our hospital from August 2014 to February 2016 were selected as the subjects of the study.The patients were randomly divided into 2 groups，30 cases in each group.The control group underwent surgical treatment of clavicular hook plate internal fixation，the study group was treated with internal fixation with clavicular hook plate combined reconstruction of the tendon with ligament transposition.Combined with the two methods on the clinical curative effect of the patients.Result：After a year of follow-up，there was no recurrence of dislocation in two groups.According to Lazzcano therapeutic evaluation standards，the excellent rate of the study group and the control group were 96.66%，70.00%，and the JOA score of the study group was significantly better than that of the control group，the differences were statistically significant（P<0.05）.Conclusion：The treatment of acromioclavicular dislocation with clavicular hook plate fixation and combined with tendon transposition and reconstruction of ligament of acromioclavicular joint has achieved good results，and the latter has a better effect，which can be popularized.

【Key words】 Clavicular hook plate internal fixation； Tendon transposition； Beak lock ligament revascularization； The acromioclavicular joint dislocation

First-authors address：Fuzhou Second Hospital，Fuzhou 350007，China

肩鎖關節(jié)脫位在臨床中屬于肩部損傷中較為常見的一種，由于患者伴有肩部慢性疼痛、肩關節(jié)功能障礙等多種癥狀，為緩解患者疼痛，當前臨床主要采取手術的方式進行治療，獲得了良好的效果[1]。基于此，本文主要對肩鎖關節(jié)脫位患者實施鎖骨鉤鋼板內固定與聯合肌腱轉位喙鎖韌帶重建術治療進行研究分析，現報告如下。endprint

1 資料與方法

1.1 一般資料

將2014年8月-2016年2月來筆者所在醫(yī)院就診的肩鎖關節(jié)脫位患者60例作為此次研究的對象，隨機分為兩組，每組30例。對照組中，男、女患者比例為17∶13；年齡38～53歲，平均（45.6±2.6）歲；損傷肢體：左側損傷20例，右側損傷10例；致傷原因：15例發(fā)生車禍，10例摔傷，5例其他原因。研究組中，男、女患者比例為15∶15；年齡36～54歲，平均為（45.0±2.4）歲；……