Endobutton袢鋼板與鉤鋼板固定NeerⅡ型鎖骨遠端骨折的效果比較

　　[摘要] 目的 對比分析Endobutton袢鋼板與鎖骨鉤鋼板在治療NeerⅡ型鎖骨遠端骨折時的臨床效果。 方法 回顧分析2012年7月～2016年9月恩施土家族苗族自治州民族醫(yī)院骨傷科住院的61例NeerⅡ型鎖骨遠端骨折患者（采用Endobutton袢鋼板或鎖骨鉤鋼板固定）的臨床資料，根據(jù)治療方法的不同將其分成A組（27例，采用Endobutton袢鋼板固定）和B組（34例，采用鎖骨鉤鋼板固定），對比分析兩組患者的手術出血總量、手術時間、治療總費用、手術相關并發(fā)癥、手術前、手術后視覺模擬評分（VAS）和Constant評分等情況。 結(jié)果 所有患者均隨訪12個月，手術時間A組稍長于B組，而A組出血量、傷口長度、并發(fā)癥低于B組，差異有統(tǒng)計意義（P < 0.05）；兩者費用比較差異無統(tǒng)計意義（P > 0.05）。術前及術后12個月兩組患者VAS評分及Constant評分的優(yōu)良率比較差異無統(tǒng)計意義（P > 0.05），而術后1、3、6個月，A組優(yōu)良率明顯高于B組，差異有統(tǒng)計學意義（P < 0.05）。 結(jié)論 Endobutton袢鋼板手術并發(fā)癥發(fā)生率低、術后更加美觀，患者恢復快、痛苦小，且無需二次手術，更值得在臨床上應用。
　　[關鍵詞] 鎖骨遠端骨折；分型；肩關節(jié)鏡；固定
　　[中圖分類號] R683.4 [文獻標識碼] A [文章編號] 1673-7210（2018）02（c）-0080-04
　　Clinical effect comparison of Endobutton plates and clavicular hook plates for treatment of NeerⅡ distal clavicle fractures
　　LUO Yuancheng HUA Xianzhang Wang Kui WU Meiping WANG Lizuo YANG Wei ZHU Bing
　　Department of Orthopedics， the National Hospital of Enshi Atonomous Prefecture， Hubei Province， Enshi 445000， China
　　[Abstract] Objective To compare and analyze the clinical efficacy of Endobutton plates and clavicular hook plates in treating NeerⅡ distal clavicle fractures. Methods The clinical data of 61 patients with NeerⅡ distal clavicle fractures in the National Hospital of Enshi Atonomous Prefecture from July 2012 to September 2016 were collected and divided into Group A （27 cases， adopted Endobutton plates fixation） and Group B （34 cases， adopted clavicular hook plates fixation）. The intraoperative blood loss， the duration of surgery， total cost for treatment， surgery-related complications， visual analogue scale （VAS） scores and constant scores before and after surgery were compared between the two groups. Results All patients were followed-up for 12 months. The operation time in Group A was slightly longer than that in group B， while the intraoperative blood loss， the length of the wound and complications in Group A were lower than those in Group B （P < 0.05）. The comparison of average cost between the two groups had no statistical significance （P > 0.05）. The comparison of the excellent and good rate of VAS and Constant scores between the two groups of patients before and 12 months after surgery had no statistical significance （P > 0.05）. However， the excellent and good rate in Group A was obviously higher than that in Group B at 1， 3， and 6 months after surgery， the difference was statistically significant （P < 0.05）. Conclusion Endobutton plates are characterized by low incidence of surgery-related complications， more beautiful after surgery， rapid recovery， small pain and without the need of a second surgery， which is more worthy for clinical application.

相關熱詞搜索：鋼板 鎖骨 骨折 遠端 固定