[1]蒋晓伟 沈影超 应璞 曹曦 王强△.带袢钢板加锚钉技术与锁骨钩钢板技术治疗肩锁关节脱位的疗效比较[J].中国中医骨伤科杂志,2019,27(12):52-55.
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带袢钢板加锚钉技术与锁骨钩钢板技术治疗肩锁关节脱位的疗效比较()
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《中国中医骨伤科杂志》[ISSN:1005-0205/CN:42-1340/R]

卷:
第27卷
期数:
2019年12期
页码:
52-55
栏目:
临床报道
出版日期:
2019-12-04

文章信息/Info

文章编号:
1005-0205(2019)12-0052-04
作者:
蒋晓伟1 沈影超1 应璞1 曹曦1 王强1△
1南京中医药大学常熟附属医院骨科(江苏 常熟,215500)
关键词:
肩锁关节脱位;  带袢钢板;  锁骨钩钢板
分类号:
R684.7
文献标志码:
B
摘要:
目的:通过回顾性研究因肩锁关节脱位而手术治疗的43位患者,比较其在采取不同手术方式干预后的肩关节功能情况。方法:收集2015年3月至2018年3月肩锁关节脱位患者43例,根据患者手术意愿分为A组(带袢钢板加锚钉技术组)与B组(锁骨钩钢板组),其中A组患者28例,B组患者15例。比较两组性别、年龄、住院时间等一般资料,以及两组患者术前、术后6个月及术后1年B组取掉锁骨钩钢板之后的VAS评分、Constant-Murley功能评分与ASES(American Shoulder and Elbow Surgeons)功能评分。结果:两组患者术前的一般资料及术前VAS评分,Constant-Murley评分与ASES评分差异均无统计学意义(P>0.05),术后6个月带袢钢板加锚钉技术组的VAS评分低于锁骨钩钢板组(P=0.031),Constant-Murley评分与ASES功能评分优于锁骨钩钢板组(P=0.029,0.018),而术后1年时上述评分差异均无统计学意义(P>0.05)。结论:采取带袢钢板加锚钉技术的患者术后早期肩关节功能及疼痛比采取锁骨钩钢板治疗的患者有明显好转,但在锁骨钩钢板拆除之后,两者之间的功能差异不大。锁骨钩钢板治疗的患者在拆除内固定之后,肩关节功能有较明显的改善。

参考文献/References:

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备注/Memo

备注/Memo:
(收稿日期:2019-07-11)
更新日期/Last Update: 2019-12-04