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[1]方煜麗,趙偉兒.喙鎖螺釘與雙Endobutton鋼板治療肩鎖關(guān)節(jié)脫位臨床觀察[J].中醫(yī)正骨,2012,24(05):27-30.
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喙鎖螺釘與雙Endobutton鋼板治療肩鎖關(guān)節(jié)脫位臨床觀察()
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《中醫(yī)正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第24卷
期數(shù):
2012年05期
頁(yè)碼:
27-30
欄目:
臨床報(bào)道
出版日期:
2012-05-20

文章信息/Info

作者:
方煜麗趙偉兒
浙江省諸暨市紅十字醫(yī)院,浙江 諸暨 311800
關(guān)鍵詞:
肩鎖關(guān)節(jié)脫位 骨折固定術(shù)內(nèi) 喙鎖螺釘 對(duì)比研究
摘要:
目的:觀察喙鎖螺釘與雙Endobutton鋼板治療RockwoodⅢ~Ⅴ型肩鎖關(guān)節(jié)脫位的臨床療效,并對(duì)兩種方法的療效進(jìn)行比較。方法:采用電腦隨機(jī)抽樣方法將收治的28例RockwoodⅢ~Ⅴ型肩鎖關(guān)節(jié)脫位患者分為兩組,每組14例,分別采用喙鎖螺釘治療和雙Endobutton鋼板治療。采用Constant評(píng)分和自我評(píng)分評(píng)價(jià)肩關(guān)節(jié)功能,對(duì)兩組臨床療效、影像學(xué)結(jié)果及并發(fā)癥進(jìn)行對(duì)比。結(jié)果:兩組患者術(shù)后均獲6~25個(gè)月的隨訪,平均12.6個(gè)月,術(shù)后Constant評(píng)分和自我評(píng)分均高于術(shù)前。術(shù)后Constant評(píng)分和自我評(píng)分雙Endobutton鋼板組為(89.8±8.3)分和(85.7±7.3)分,喙鎖螺釘組為(78.0±10.3)分、(71.8±9.7)分,兩組比較,前者高于后者。術(shù)后3個(gè)月兩組影像學(xué)測(cè)量差異無(wú)統(tǒng)計(jì)學(xué)意義(P>0.05)。結(jié)論:雙Endobutton鋼板治療RockwoodⅢ~Ⅴ型肩鎖關(guān)節(jié)脫位的臨床療效優(yōu)于喙鎖螺釘治療,其通過(guò)解剖方式重建喙鎖韌帶將成為治療肩鎖關(guān)節(jié)脫位的未來(lái)發(fā)展趨勢(shì)。

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更新日期/Last Update: 2012-05-20