付文锋

[摘要]目的 探析锁骨带绊钢板治疗锁骨远端骨折的临床效果。方法 选取2015年4月～2017年6月我院接收的52例NeerⅡ型锁骨远端骨折患者作为研究对象，依照数字列表法随机分为对照组与观察组，每组各26例。对照组采用钩钢板治疗，观察组采用双带绊钢板治疗，比较观察经不同方法治疗患者的临床效果。结果 观察组肩部疼痛程度显著优于对照组（P<0.05）；观察组肩关节外展活动度显著优于对照组（P<0.05）；观察组的肩部功能情况显著优于对照组，差异均有统计学意义（P<0.05）。结论 对锁骨远端骨折者予以锁骨带绊钢板治疗，不仅能降低肩关节活动受限情况，且还能使肩关节疼痛情况得到改善。

[关键词]双带绊钢板；锁骨远端骨折；钩钢板；肩部活动度

[中图分类号] R683.1 [文献标识码] A [文章编号] 1674-4721（2018）7（a）-0086-03

[Abstract]Objective To explore the clinical effect of clavicular belt tripping plate in the treatment of distal clavicle fracture.Methods From April 2015 to June 2017，52 patients with the distal fracture of NeerⅡ clavicular bone received by our hospital were selected as the research data，and the number list method was randomly divided into two groups：control group and observation group，26 cases in each group.The control group was treated with hook plate，and the observation group was treated with double-strap trip plate，and the clinical effect of patients treated with different methods was compared.Results The degree of shoulder pain in the observation group was significantly better than that in the control group （P<0.05）；the shoulder joint abduction activity in the observation group was significantly better than that in the control group，with statistical difference （P<0.05）；the shoulder function in the observation group was significantly better than that in the control group （P<0.05）.Conclusion Clavicular plate for the treatment of distal clavicle fracture can not only reduce the limitation of shoulder joint activity，but also improve the pain of shoulder joint.

[Key words]Dual trip plate；Distal clavicle fracture；Hook plate；Shoulder activity

在锁骨骨折疾病中，锁骨远端骨折发生率达到12%～15%。依照Neer分型，喙锁韧带断裂是导致Ⅱ型骨折的主要因素，受胸锁乳突肌与斜方肌的牵拉近折端移位至上后方，受上肢重力的牵引遠折端移位至向下，分离两端，为不稳定骨折，保守治疗效果不理想，需采取手术方法治疗[1-2]。随着近几年医疗技术水平的提升，手术治疗锁骨远端骨折病症的方法越来越多样化，如喙锁间钢丝、自体韧带重建喙锁韧带等，虽具有一定的治疗效果，但也存在局限性[3]。有报道显示[4]，在Neerr型锁骨远端骨折治疗中，AO锁骨钩钢板的舒适愈发广泛，且临床疗效良好。本研究以我院接收的52例NeerⅡ型锁骨远端骨折患者为研究资料，探究锁骨带绊钢板治疗的效果，现报道如下。

1资料与方法

1.1一般资料

选取2015年4月～2017年6月我院接收的52例NeerⅡ型锁骨远端骨折患者作为研究对象，依照数字列表法随机分为观察组（n=26）和对照组（n=26）。观察组男19例，女7例；年龄21～67岁，平均（47.6±2.4）岁。对照组男18例，女8例；年龄22～68岁，平均（48.5±2.5）岁。……