两种术式对肩锁关节脱位术后肩痛症的疗效比较

The Effect Observation of Shoulder Pain after Opration of Acromioclavicular Joint Dislocation Treatment by Two Surgical Methods

目的:比较钩钢板与带袢钢板对Rock Wood3~4度肩锁关节脱位术后肩痛症的临床疗效。方法:将40例肩锁关节脱位患者,随机分为钩钢板组20例与带袢钢板组20例,记录两组患者术后1周及1月VAS评分。结果:治疗1周及1月后带袢钢板组患者VAS评分均低于钩钢板组,差异具有统计学意义(P﹤0.05)。结论:带袢钢板固定能有效减少术后并发肩痛症,进而提高患者生活质量及依从性,值得临床进一步研究。

Objective： To compare the clinical effects of shoulder pain after different surgical approach in treating Rock Wood3 - 4 dislocation of acromioclavicular joint. Methods： We divided forty cases with dislocation of acromioclavicular joints which had completed surgical treatment into two groups randomly,with twenty cases a group. One group was fixed with clavicular hook- plate,another was fixed with double Endobutton/Retrobutton technique. Recorded the Visual Analogue Scores（ VAS） of every case one week and one month after the operation. Results： All the Visual Analogue Scores of group which fixed with Double Endobutton/Retrobutton technique were smaller than the other group,there was statistical difference between the two groups（ P ﹤ 0. 05）. Conclusion： Double Endobutton/Retrobutton technique can reduce pain in patients obviously. It can improve the patients,quality of life and treatment compliance.