摘要
目的探讨涤纶带重建喙锁韧带治疗肩锁关节脱位的临床疗效。方法将106例Rockwood Ⅲ～V型肩锁关节脱位患者按治疗方法分为两组：A组56例，采用涤纶带重建喙锁韧带；B组50例，采用锁骨钩钢板内固定。比较两组的手术时间、住院费用、功能恢复及并发症等情况。结果A组在手术时间、住院费用方面明显低于B组（P〈0.05）。术后15个月Constant评分：A组优21例，良29例，中6例，优良率89％；B组优23例，良20例，中7例，优良率86％。术后1、6个月A组功能恢复优于B组（P〈0.05），术后15个月两组功能恢复比较差异无统计学意义（P〉0.05）。结论涤纶带重建喙锁韧带治疗Rockwood Ⅲ～V型肩锁关节脱位临床疗效较好，较锁骨钩钢板内固定手术时间短、并发症少、费用低，且无需二次手术取出内固定。
Objective To evaluate the efficacy of reconstructing the coracoclavicular ligament by using the terylene band for acromioclavicular dislocation. Methods A total of 106 patients with Rockwood type Ⅲ～V acromioclavic-ular dislocation were treated by one of these two methods： terylene band（in group A of 56 cases）and clavicular hook plate （in group B of 50 cases）. The comparison includes： operation time, hospitalization expenses, functional recover-y and complications. Results The outcomes of group A were better than group B on the operation time and hospitali-zation expenses （P 〈0. 05）. The results were evaluated by Constant score： excellent in 21 cases, good in 29 cases, fair in 6 eases for group A and excellent in 23 eases, good in 20 eases, fair in 7 cases for group B, and the excellent-good rate of group A, B was 89% and 86%. The functional recovery 1 and 6 months after surgery of group A was bet-ter than group B （P 〈0.05）. The difference of the functional recovery 15 months after surgery between these two groups was not significant （P 〉 0. 05）. Conclusions Terylene band is a better way to treat acromioclavicular disloea-tion. Compared with the clavicular hook plate, terylene band can save the operation time and the hospitalization ex-penses, which causes less complications furthermore.
出处
《临床骨科杂志》
2014年第1期43-45,共3页
Journal of Clinical Orthopaedics
关键词
肩锁关节脱位
喙锁韧带重建
涤纶带
锁骨钩钢板
acromioclavicular joint dislocation
reconstructing the coracoclavicular ligament
terylene band
clavicularhook plate
