多维塑形钢板内固定治疗锁骨中段骨折的效果观察

发布时间：2019-03-31 00:46

【摘要】：目的探讨多维塑形锁骨钢板内固定对锁骨中段骨折的治疗效果及对术后发生骨不连的影响。方法选取锁骨中段骨折患者164例,根据入院时间先后分为对照组与观察组各82例。对照组给予钢板内固定,观察组采用多维塑形钢板内固定。两组手术前后分别进行视觉模拟评分(VAS)以评价疼痛程度;术后1年评价疗效;术前及术后1年采用SF-36生活质量量表评价生活质量;统计术后1年内骨不连发生率。结果两组术前VAS比较差异无统计学意义(P0.05),术后VAS均较术前降低,且观察组降低更显著(P均0.05)。观察组治疗优良率为97.56%,高于对照组的87.80%(P0.05)。两组术前各项SF-36评分比较差异均无统计学意义(P均0.05),术后1年各项SF-36评分均较术前升高,且观察组升高更显著(P均0.05)。观察组随访1年中骨不连发生率为2.44%(2/82),对照组为13.41%(11/82),两组比较P0.05。结论多维塑形钢板内固定治疗锁骨中段骨折疗效显著,有利于缓解疼痛,提高生活质量,并降低术后骨不连发生率。
[Abstract]:Objective to investigate the effect of multi-dimensional plastic clavicular plate internal fixation in the treatment of mid-clavicular fracture and the effect on bone nonunion after operation. Methods 164 cases of middle clavicular fracture were divided into control group (82 cases) and observation group (82 cases) according to the admission time. The control group was treated with steel plate internal fixation, the observation group was treated with multi-dimensional plastic plate internal fixation. Visual analogue score (VAS) was used to evaluate the degree of pain before and after operation, the curative effect was evaluated at 1 year after operation, the quality of life was evaluated by SF-36 scale before and after operation, and the incidence of nonunion of bone was counted within 1 year after operation. Results there was no significant difference in the preoperative VAS between the two groups (P0.05). The postoperative VAS was lower than that before the operation, and the decrease was more significant in the observation group (all P 0.05). The excellent and good rate of treatment in the observation group was 97.56%, which was higher than 87.80% in the control group (P0.05). There was no significant difference in the SF-36 scores between the two groups before operation (P all 0.05). The SF-36 scores in the two groups increased significantly one year after operation compared with those before the operation, and the increase in the observation group was more significant (P all 0.05). The incidence of bone nonunion was 2.44% (2 / 82) in the observation group and 13.41% (11 / 82) in the control group (P 0.05). Conclusion Multi-dimensional plastic plate internal fixation is effective in the treatment of mid-clavicular fracture, which is beneficial to relieve pain, improve quality of life and reduce the incidence of bone nonunion after operation.
【作者单位】：济南市第三人民医院;
【分类号】：R687.3

【相似文献】