小切口Tightrope系统在肩锁关节脱位中的疗效及对创伤应激的影响

The Effect of Small Incision Tightrope System in the Patients with Acromioclavicular Joint Dislocation and Influence for Traumatic Stress

目的:探究小切口Tightrope系统在肩锁关节脱位中的疗效及对创伤应激的影响。方法:选取2018年1月-2020年10月的80例肩锁关节脱位患者为研究对象,将其随机分为对照组(锁骨钩钢板组)和观察组(小切口Tightrope系统组),每组40例。比较两组术后不同时间的Constant-Murley评分结果、手术前后的影像学参数(喙锁间距及肩锁移位距离)、疼痛程度(VAS评分)及创伤应激指标(血清Cor及ACTH)。结果:术后1、3、6个月观察组的Constant-Murley评分结果显著优于对照组,差异有统计学意义(P<0.05),术前两组的影像学参数、VAS评分及创伤应激指标比较,差异无统计学意义(P>0.05),术后1、3、6个月观察组的影像学参数及VAS评分显著优于对照组,术后1、3、7 d的创伤应激指标显著低于对照组,差异有统计学意义(P<0.05)。结论:小切口Tightrope系统在肩锁关节脱位中的疗效较好,且可有效控制机体的创伤应激,因此在肩锁关节脱位患者中的应用价值较高。

Objective:To investigate the effect of small incision Tightrope system in the patients with acromioclavicular joint dislocation and influence for traumatic stress.Method:A total of 80 patients with acromioclavicular joint dislocation from January 2018 to October 2020 were chosen as the study object,and they were randomly divided into the control group(clavicular hook plate group)and the observation group(small incision Tightrope system group)with 40 cases in each group.Then the Constant-Murley score at different time after the operation,imaging parameters(coracoclavicular distance and acromioclavicular displacement distance),pain degree(VAS score)and trauma stress indexes(serum Cor and ACTH)before and after the operation of two groups were compared.Result:The Constant-Murley score of observation group at 1,3 and 6 month after the operation were significantly better than those of the control group,there were statistically significant differences(P<0.05),the imaging parameters,VAS score and trauma stress indexes of two groups before the operation were compared,there were no statistically significant differences(P>0.05),the imaging parameters and VAS score of observation group at 1,3 and 6 month after the operation were significantly better than those of the control group,the trauma stress indexes at 1,3 and 7 d after the operation were significantly lower than those of control group,there were statistically significant differences(P<0.05).Conclusion:The effect of small incision Tightrope system in the patients with acromioclavicular joint dislocation is better,and it can effectively control the traumatic stress,so its application value in the patients with acromioclavicular joint dislocation is higher.