闭合复位后路空心螺钉与切开复位内固定治疗锁骨中段骨折的疗效比较

发布时间：2019-01-05 18:00

【摘要】：目的探讨闭合复位后路空心螺钉与切开复位内固定治疗锁骨中段骨折的临床疗效。方法选择2015年1月至2016年6月该院收治的锁骨中段骨折患者60例,采用随机数字表法分为闭合复位后路空心螺钉组(空心螺钉组)和切开复位内固定组(切开复位组),每组30例。比较两组患者一般手术情况、骨折愈合时间、肩关节功能Neer评分和Constant-Murley(CM)评分,以及手术并发症的发生率。结果空心螺钉组手术时间、手术切口长度、术中出血量、骨折愈合时间均显著低于切开复位组,术后肩关节功能Neer评分和CM评分优于切开复位组,两组比较差异均有统计学意义(P0.01);空心螺钉组术后并发症的发生率明显低于切开复位组,且差异有统计学意义(χ2=4.812,P=0.028)。结论闭合复位后路空心螺钉治疗锁骨中段骨折创伤小,术后骨愈合快,肩关节功能恢复好,且术后并发症少。
[Abstract]:Objective to investigate the clinical effect of closed reduction posterior hollow screw and open reduction and internal fixation in the treatment of middle clavicle fracture. Methods from January 2015 to June 2016, 60 patients with middle clavicle fracture were randomly divided into two groups: closed reduction posterior hollow screw group (hollow screw group) and open reduction and internal fixation group (open reduction group). There were 30 cases in each group. General surgical conditions, fracture healing time, shoulder function Neer score and Constant-Murley (CM) score, and the incidence of surgical complications were compared between the two groups. Results the operative time, incision length, blood loss and fracture healing time in hollow screw group were significantly lower than those in open reduction group, and the Neer score and CM score of shoulder function were better than that of open reduction group. The difference between the two groups was statistically significant (P0.01). The incidence of postoperative complications in the hollow screw group was significantly lower than that in the open reduction group (蠂 ~ 2 = 4.812). Conclusion the treatment of middle clavicle fracture with closed reduction and hollow screw has the advantages of less trauma, faster bone healing, better recovery of shoulder joint function and less postoperative complications.
【作者单位】：柳州市人民医院创伤骨科;
【基金】：柳州市科学研究与技术开发计划(2015J030521)
【分类号】：R687.3

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