改良喙突移位术治疗肩锁关节完全脱位临床效果分析

Analysis of Clinical Diagnosis and Treatment on Severe Thoracic Trauma

目的:探讨改良喙突移位术治疗肩锁关节完全脱位临床效果。方法选取2010年5月~2012年12月,我院收治肩锁关节完全脱位患者105例,所有患者随机分为改良喙突移位术治疗组(研究组)53例和锁骨钩钢板治疗组(对照组)52例。观察两组患者的疗效及手术时间、失血量、术后内固定滑脱断裂松动、再脱位、肩锁关节功能及切口感染的情况。结果两组患者随访6个月后比较,研究组优良率为92.45%,对照组为84.62%,两组优良率比较,差异有统计学意义(P<0.05)。研究组平均手术时间与失血量皆少于对照组,差异有统计学意义(P<0.05)。研究组与对照组并发症比较,差异有统计学意义(χ2=9.776,P<0.05)。结论改良喙突移位术操作简单安全,组织损伤小,属于动力复位,并发症少,效果可靠,不易复发,值得临床推广应用。

Objective To investigate the clinical ef ect of improved coracoid transplantation in treatment of complete acromioclavicular joint dislocation.Methods 105 patients with complete acromioclavicular joint dislocation were col ected from May 2010 to December 2012 in our hospital,al patients were divided into 53 cases of improved coracoid transplantation treatment group(study sroup)and 52 cases of clavicular hook plate treatment group(control group).The ef ect,operation time,blood loss,postoperative internal fixation loosening,dislocation slip fault,cromioclavicular joint function and incision infection of two groups were observed.Results The comparison of two groups after fol ow-up six months showed that the excellent and good rate of study group was 92.45%,while the control group was 84.62%,the dif erence was statistical y significant(P<0.05).The average operation time and blood loss of study group were less than that of control group,the dif erence was statistical y significant(P<0.05).The study group and the control group were compared,the dif erence was statistical y significant in complications between two groups(χ2=9.776,P<0.05).Conclusion Improved coracoid transplantation is simple and safe,less injury,less complication,and belongs to the power reduction,and has reliable ef ect,less recurrence,and it is worthy of clinical application.