锁骨钩钢板固定联合喙锁韧带修补治疗Tossy Ⅲ型肩锁关节脱位的临床研究

来源 :中国医师杂志 | 被引量 : 0次 | 上传用户:hjiejngd
下载到本地 , 更方便阅读
声明 : 本文档内容版权归属内容提供方 , 如果您对本文有版权争议 , 可与客服联系进行内容授权或下架
论文部分内容阅读
目的:对Tossy Ⅲ型肩锁关节脱位采用锁骨钩钢板固定联合喙锁韧带修补治疗,并探讨其临床效果。方法:选取2014年1月至2019年1月内蒙古包钢医院收治的80例Tossy Ⅲ型肩锁关节脱位患者,将其按随机数字表法分为对照组(n n=39,采用锁骨钩钢板治疗)和观察组(n n=41,采用锁骨钩钢板固定联合喙锁韧带修补治疗),比较两组术后12个月的临床疗效、临床相关指标、术后12个月恢复情况及术后并发症发生情况。n 结果:观察组术后12个月优良率为92.68%(38/41),高于对照组76.92%(30/39),差异有统计学意义(n P0.05);术后12个月观察组外展活动度、前屈活动度均高于对照组,疼痛视觉模拟评分法(VAS)评分低于对照组(n P0.05)。n 结论:对Tossy Ⅲ型肩锁关节脱位采用锁骨钩钢板固定联合喙锁韧带修补治疗,临床疗效较好,可以提高患者肩关节功能,减轻患肩疼痛,且术后并发症较少,可为临床治疗该类型肩锁关节脱位提供方案参考。“,”Objective:The treatment of Tossy type Ⅲ acromioclavicular joint dislocation with clavicular hook plate combined with coracoclavicular ligament repair, and to explore its clinical effect.Methods:80 patients with Tossy type Ⅲ acromioclavicular joint dislocation who were admitted to our hospital from January 2014 to January 2019 were selected. They were randomly divided into control group (n n=39, treated with clavicular hook plate) and study group (n n=41, treated with clavicular hook plate combined with coracoclavicular ligament repair) by number table method. The clinical efficacy at 12 months after operation, related clinical indicators, recovery at 12 months after operation and complications after operation were compared between the two groups.n Results:The excellent and good rate was 92.68% in the study group at 12 months after operation, which was higher than 76.92% in the control group (n P0.05). At 12 months after operation, the abduction activity and flexion activity of the study group were higher than those of the control group, and the visual analogue score (VAS) score was lower than that of the control group (n P0.05).n Conclusions:For Tossy type Ⅲ acromioclavicular joint dislocation, clavicular hook plate combined with coracoclavicular ligament repair has a good clinical effect. It can improve shoulder joint function, alleviate shoulder pain, and have fewer complications. It can provide a reference for clinical treatment of this type of acromioclavicular joint dislocation.
其他文献
为了初步揭示hBEX1的功能,该实验室在前期工作中以hBEX1全长为"诱饵"蛋白,用酵母双杂交技术筛选人胎脑cDNA文库,寻找与之相互作用的蛋白.结果发现,人染色质重塑复合体SWI/SNF
目的:探讨前脂肪细胞对前列腺癌细胞侵袭力的影响及其调控机制。方法:建立前脂肪细胞及前列腺癌细胞的共培养体系,通过Transwell侵袭实验检测前脂肪细胞对前列腺癌细胞的侵袭
目的:分析血清miR-873和miR-323-3p在异位妊娠(EP)中的表达水平变化,并探讨其表达水平对EP的诊断价值。方法:选择本院妇产科2016年6月至2018年3月收治的72例EP患者作为病例组,
腰椎后路椎间融合术是治疗腰椎间盘突出症、腰椎管狭窄、腰椎滑脱等腰椎退行性疾病常见术式之一,该术式学习曲线短、减压彻底、融合率较高、疗效确切,是脊柱外科常见术式之一。