[1]徐基亭,栾富钧.胸锁钩钢板治疗胸锁关节脱位和锁骨近端疾患的临床疗效分析[J].医学信息,2019,(04):166-168.[doi:10.3969/j.issn.1006-1959.2019.04.055]
 XU Ji-ting,LUAN Fu-jun.Clinical Analysis of Chest-lock Hook Plate in the Treatment of Sterno-articular Dislocation and Proximal Clavicular Disease[J].Medical Information,2019,(04):166-168.[doi:10.3969/j.issn.1006-1959.2019.04.055]
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胸锁钩钢板治疗胸锁关节脱位和锁骨近端疾患的临床疗效分析()
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医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
期数:
2019年04期
页码:
166-168
栏目:
经验交流
出版日期:
2019-02-15

文章信息/Info

Title:
Clinical Analysis of Chest-lock Hook Plate in the Treatment of Sterno-articular Dislocation and Proximal Clavicular Disease
文章编号:
1006-1959(2019)04-0166-03
作者:
徐基亭1栾富钧2
(1.山东省高密市第二人民医院骨科,山东 高密 261500;2.重庆医科大学附属永川医院创伤骨科,重庆 402160)
Author(s):
XU Ji-ting1LUAN Fu-jun2
(1.Department of Orthopaedics,the Second People's Hospital of Gaomi City,Gaomi 261500,Shandong,China;2.Department of Traumatology,Yongchuan Hospital,Chongqing Medical University,Chongqing 402160,China)
关键词:
胸锁关节脱位锁骨近端骨折胸锁钩钢板
Keywords:
Thoracolumbar joint dislocationProximal clavicle fractureChest lock hook plate
分类号:
R687.3
DOI:
10.3969/j.issn.1006-1959.2019.04.055
文献标志码:
B
摘要:
目的 观察联合检测PCT、IL-6和CRP水平预测未足月胎膜早破患者并发绒毛膜羊膜炎及新生儿早发性败血症的临床价值。方法 将2017年1月~2018年6月在我院治疗的70例未足月胎膜早破(PPROM)患者设为观察组,选取同期在我院产检孕周正常的70例孕妇设为对照组,根据病理检查将观察组分为绒毛膜羊膜炎组与无绒毛膜羊膜炎组,同时依据新生儿感染情况分为败血症组和非感染组。对比观察组和对照组外周血、脐血PCT、IL-6、CRP水平表达情况,并对观察组孕妇分娩后胎盘胎膜进行病理学检查以及追踪新生儿感染情况。结果 观察组孕妇外周血中PCT、IL-6、CRP水平均高于对照组,差异有统计学意义(P<0.05);无绒毛膜羊膜炎组PCT、IL-6、CRP水平低于绒毛膜羊膜炎组,差异有统计学意义(P<0.05);联合检测PCT、IL-6及CRP诊断绒毛膜羊膜炎的敏感性为68.75%、特异性为93.75%、阳性预测值为97.05%;脐血PCT、IL-6、CRP水平在败血症组新生儿中显著升高,与非感染组新生儿及对照组新生儿比较,差异有统计学意义(P<0.05)。结论 PPROM孕妇外周血PCT、IL-6、CRP水平较高,三项指标联合检测对绒毛膜羊膜炎预测价值高,脐血PCT、IL-6、CRP水平检测有利于早期诊断新生儿早发性败血症。
Abstract:
Objective To observe the clinical efficacy of chest-locked hook plate in the treatment of sterno-articular dislocation and proximal clavicular disease. Methods A retrospective analysis of 7 cases of proximal clavicle fractures, sternocleidal joint dislocation and clavicular tumors treated with sterno-lock plate in our hospital from December 2013 to February 2017, all of which were male. 2 cases were clavicular segmental fractures, 2 cases of proximal clavicle fractures, 1 case of anterior dislocation of sternocleidal joint, and 1 case of proximal clavicle fracture with anterior dislocation of sternocleidal joint. Postoperative outcomes were evaluated according to the Rockwood score. Results The incision healed in 6 cases in one stage and 1 case in superficial infection. No complications such as pleural, nerve and vascular injury occurred. Postoperative X-ray examination showed that the fracture and joint reduction were satisfactory, and the internal fixation was effective. The mean follow-up time (13.00±3.40) months, the average Rockwood score (13.80±4.50) points. 5 cases were excellent, 2 cases were good, and the excellent and good rate was 100.00%. No internal fixation failure and re-dislocation occurred, all fractures healed and the function was satisfactory. Conclusion The new sterno-locking plate is a treatment for sterno-articular dislocation and proximal clavicular disease. The operation is convenient, accurate and satisfactory.

参考文献/References:


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更新日期/Last Update: 2019-03-07