Endobutton钢板重建喙锁韧带治疗肩锁关节脱位的效果

闵智蓉

[摘要]目的 分析Endobutton钢板重建喙锁韧带治疗肩锁关节脱位的临床效果。方法 选取2015年9月～2017年1月我院收治的76例肩锁关节脱位患者，随机分为对照组和实验组，各38例。对照组采用锁骨钩钢板内固定方式进行治疗，实验组采用带袢钢板重建喙锁韧带进行治疗，术后比较两组的肩关节JOA评分、肩锁关节VAS评分和肩关节功能评价结果。结果 实验组术后的JOA评分低于对照组，VAS评分高于对照组，而且实验组的肩关节功能评价结果明显优于对照组，差异有统计学意义（P<0.05）。结论 带袢钢板重建喙锁韧带治疗肩锁关节脱位的效果显著，而且操作简单，对患者的创伤较小，患者在早期就可以恢复功能锻炼，值得推广应用。

[关键词]Endobutton钢板；重建喙锁韧带；肩锁关节脱位

[中图分类号] R684.7 [文献标识码] A [文章编号] 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

肩鎖关节脱位是比较常见的肩部损伤，大多是因为暴力导致，而且男性患者居多[1]。其中Ⅰ型与Ⅱ型肩关节脱位患者经过临床保守治疗基本恢复，而Ⅲ型肩锁关节脱位患者由于关节结构遭受一定程度的破坏，使肩锁关节完全脱位，需要及时进行手术治疗[2]。目前，临床治疗肩锁关节脱位有多种方式[3]。本研究选取我院收治的肩锁关节脱位患者作为研究对象，观察钢板重建喙锁韧带治疗肩锁关节脱位的临床效果，现报道如下。

1资料与方法

1.1一般资料

选取2015年9月～2017年1月我院收治的76例肩锁关节脱位患者作为研究对象，随机分为对照组和实验组，各38例。对照组中，男性20例，女性18例；年龄为24～62岁，平均（38.2±6.5）岁；致伤原因：高处坠落14例，车祸伤11例，摔伤13例；左侧肩锁关节脱位21例，右侧肩锁关节脱位17例。实验组中，男性22例，女性16例；年龄为26～64岁，平均（39.3±7.2）岁；致伤原因：高处坠落13例，车祸伤13例，摔伤12例；左侧肩锁关节脱位19例，右侧肩锁关节脱位19例。两组的一般资料比较，差异无统计学意义（P>0.05），具有可比性。本研究经医院医学伦理委员会批准，且所有患者及其家属均自愿签署同意协议书，参与本次研究。endprint