重建钢板内固定治疗锁骨骨折的的疗效观察.docVIP

重建钢板内固定治疗锁骨骨折的的疗效观察 　　[摘要] 目的 探讨重建钢板内固定治疗锁骨骨折的临床疗效,并与克氏针内固定治疗锁骨骨折的疗效作比较。方法 64例锁骨骨折患者随机分为观察组和对照组各32例,观察组采用重建钢板内固定治疗,对照组采用克氏针内固定,观察比较两组的手术效果及疗效。结果 观察组的有效率为87.5%,对照组的有效率为59.4%,两组疗效差异有显著性(P0.05)。结论 重建钢板内固定治疗锁骨骨折疗效满意,内固定牢固,优于克氏针内固定,术中出血少,利于骨折愈合,值得临床广泛推广使用。 　　[关键词] 锁骨骨折;重建钢板内固定;克氏针内固定 　　[中图分类号] R683.41[文献标识码] A[文章编号] 1673-9701(2010)14-140-02 　　 　　The Efficacy of Reconstruction Plate Fixation for the Treatment 32 Cases Clavicular Fracture 　　SU ShibiaoLIANG PeigenYAN YingjianZHOU Yijian 　　The Sixth Patriarch of Xinxing County,Yunfu City,Xinxing 527431,China 　　 　　[Abstract] Objective To evaluate the reconstruction plate fixation for the treatment of clavicle fractures clinical efficacy,and with Kirschner wire fixation for the treatment of clavicle fractures for comparison. Methods 64 cases of clavicular fracture were randomly divided into two groups and the control group 32 cases,observation group were treated with reconstruction plate fixation,Kirschner wire fixation for the control group were observed and compared the surgical results and efficacy of the two groups. Results Observer group of efficiency was 87.5% in the control group response rate was 59.4%, the two groups by statistical analysis of efficacy, the difference was significant significance(P0.05). Reconstruction plate fixation group operative time,blood loss and hospital stay were significantly less than the Kirschner wire fixation group(P0.05). Conclusion The reconstruction plate fixation of clavicle fractures satisfactory than Kirschner wire fixation,less blood loss,internal fixation,which will help fracture healing,it is worth to promote the use of clinical extensive. 　　[Key words] Clavicle fracture;Reconstruction plate fixation;Kirschner wire fixation 　　锁骨骨折是临床常见骨折之一,重建钢板内固定现已广泛应用于临床[1]。现选择我院2008年1月～2009年12月64例锁骨骨折患者,其中32例采用重建钢板内固定,并与采用克氏针内固定治疗32例患者比较,现报道如下。 　　1资料与方法 　　1.1一般资料 　　64例锁骨骨折患者中男38例,女26例;年龄18～56岁,平均35岁。伤后到初诊时间10min～10d不等。受伤原因:交通伤23例,摔伤22例,砸伤19例。其中粉碎性骨折27例、横形骨折24例、斜形骨折13例。全部患者随机分为观察