閔智蓉

[摘要]目的 分析Endobutton鋼板重建喙鎖韌帶治療肩鎖關(guān)節(jié)脫位的臨床效果。方法 選取2015年9月～2017年1月我院收治的76例肩鎖關(guān)節(jié)脫位患者，隨機分為對照組和實驗組，各38例。對照組采用鎖骨鉤鋼板內(nèi)固定方式進行治療，實驗組采用帶袢鋼板重建喙鎖韌帶進行治療，術(shù)后比較兩組的肩關(guān)節(jié)JOA評分、肩鎖關(guān)節(jié)VAS評分和肩關(guān)節(jié)功能評價結(jié)果。結(jié)果 實驗組術(shù)后的JOA評分低于對照組，VAS評分高于對照組，而且實驗組的肩關(guān)節(jié)功能評價結(jié)果明顯優(yōu)于對照組，差異有統(tǒng)計學意義（P<0.05）。結(jié)論 帶袢鋼板重建喙鎖韌帶治療肩鎖關(guān)節(jié)脫位的效果顯著，而且操作簡單，對患者的創(chuàng)傷較小，患者在早期就可以恢復功能鍛煉，值得推廣應用。

[關(guān)鍵詞]Endobutton鋼板；重建喙鎖韌帶；肩鎖關(guān)節(jié)脫位

[中圖分類號] R684.7 [文獻標識碼] A [文章編號] 1674-4721（2017）10（a）-0101-03

[Abstract]Objective To analyze the clinical effect of Endobutton plate reconstruction of coracoclavicular ligament in the treatment of acromioclavicular joint dislocation.Methods From September 2015 to January 2017，76 patients with acromioclavicular joint dislocation admitted into our hospital were selected and randomly divided into the control group and the experimental group，38 cases in each group.The patients in the control group were provided with clavicular hook plate for internal fixation.The patients in the experimental group were given the Endobutton plate reconstruction of coracoclavicular ligament for the treatment.The shoulder joint JOA score，acromioclavicular joint VAS score，and score of should joint function after surgery were compared between the two groups.Results The JOA score in the experimental group after surgery was lower than that in the control group，and the score of VAS in the experimental group after surgery was higher than that of the control group，the evaluation of shoulder function in the experimental group was better than that of the control group，with significant difference （P<0.05）.Conclusion In the treatment of acromioclavicular joint dislocation，Endobutton plate reconstruction of coracoclavicular ligament can obtain a remarkable effect at advantages of simple performance，mild trauma for patients，and early recovery of functional exercise，which is worthy of promotion and application.

[Key words]Endobutton plate；Reconstruction of coracoclavicular ligament；Acromioclavicular joint dislocation

肩鎖關(guān)節(jié)脫位是比較常見的肩部損傷，大多是因為暴力導致，而且男性患者居多[1]。其中Ⅰ型與Ⅱ型肩關(guān)節(jié)脫位患者經(jīng)過臨床保守治療基本恢復，而Ⅲ型肩鎖關(guān)節(jié)脫位患者由于關(guān)節(jié)結(jié)構(gòu)遭受一定程度的破壞，使肩鎖關(guān)節(jié)完全脫位，需要及時進行手術(shù)治療[2]。目前，臨床治療肩鎖關(guān)節(jié)脫位有多種方式[3]。本研究選取我院收治的肩鎖關(guān)節(jié)脫位患者作為研究對象，觀察鋼板重建喙鎖韌帶治療肩鎖關(guān)節(jié)脫位的臨床效果，現(xiàn)報道如下。

1資料與方法

1.1一般資料

選取2015年9月～2017年1月我院收治的76例肩鎖關(guān)節(jié)脫位患者作為研究對象，隨機分為對照組和實驗組，各38例。對照組中，男性20例，女性18例；年齡為24～62歲，平均（38.2±6.5）歲；致傷原因：高處墜落14例，車禍傷11例，摔傷13例；左側(cè)肩鎖關(guān)節(jié)脫位21例，右側(cè)肩鎖關(guān)節(jié)脫位17例。實驗組中，男性22例，女性16例；年齡為26～64歲，平均（39.3±7.2）歲；致傷原因：高處墜落13例，車禍傷13例，摔傷12例；左側(cè)肩鎖關(guān)節(jié)脫位19例，右側(cè)肩鎖關(guān)節(jié)脫位19例。兩組的一般資料比較，差異無統(tǒng)計學意義（P>0.05），具有可比性。本研究經(jīng)醫(yī)院醫(yī)學倫理委員會批準，且所有患者及其家屬均自愿簽署同意協(xié)議書，參與本次研究。endprint