[1]张细祥 郭颖彬 苏源冰 郑尤辉.锁骨中段骨折的髓内针与钢板固定的疗效比较[J].中国中医骨伤科杂志,2015,23(12):42-45.
　ZHANG Xixiang GUO Yingbin SU Yuanbin ZHENG Youhui.Comparison of the Efficacy of Intramedullary Nail and Plate Fixation for Treating Midshaft Clavicle Fractures[J].Chinese Journal of Traditional Medical Traumatology & Orthopedics,2015,23(12):42-45.
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锁骨中段骨折的髓内针与钢板固定的疗效比较
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《中国中医骨伤科杂志》[ISSN:1005-0205/CN:42-1340/R]

卷:
第23卷
期数:
2015年12期
页码:
42-45
栏目:
临床研究
出版日期:
2015-12-08

文章信息/Info

Title:
Comparison of the Efficacy of Intramedullary Nail and Plate Fixation for Treating Midshaft Clavicle Fractures
文章编号:
1005-0205(2015)12-0042-04
作者:
张细祥1 郭颖彬1 苏源冰1 郑尤辉1
1.福建中医药大学附属泉州市正骨医院(福建 泉州,362000)
Author(s):
ZHANG Xixiang1 GUO Yingbin1 SU Yuanbin1 ZHENG Youhui1
1.Orthopedics Hospital of Quanzhou,Affiliated to Fujian University of Traditional Chinese Medicine,Quanzhou 362000,Fujian China.
关键词:
锁骨骨折;  中段;  内固定;  临床研究
Keywords:
clavicular fractures;  midshaft;  internal fixation;  clinical trial
分类号:
R683.41
文献标志码:
A
摘要:
目的:评价微创经皮穿针内固定与切开复位解剖钢板内固定两种方法治疗锁骨中段骨折的临床疗效。方法:2013年6月至2015年2月,对60例锁骨中段骨折患者,分别采用微创经皮穿针内固定与切开复位解剖钢板内固定两种方法治疗,观察术中出血量、手术时间、骨折愈合时间、术后并发症及肩关节功能(Constant评分),并进行对比研究。结果:两组手术时间、术中出血量比较,差异有统计学意义(P<0.05)。60例均获得6～8个月的随访,平均(6.47±0.22)个月。穿针组骨性愈合时间平均(9.99±0.28)周,钢板组平均(14.99±0.45)周,两组差异有统计学意义(P<0.05)。功能评定按照Constant肩关节评分标准,穿针组平均分为(92.00±1.20)分,钢板组平均分为(91.44±1.45)分,两组差异无统计学意义(P>0.05)。两组术后并发症发生率比较,差异无统计学意义(P>0.05)。结论:微创经皮穿针内固定较切开复位钢板内固定治疗锁骨中段骨折具有手术创伤小、术中出血少,骨折愈合快、功能恢复好等优点,值得临床推广。
Abstract:
Objective:To evaluate and compare the efficacy of percutaneous intramedullary nail fixation and open reduction with plate fixation for treating midshaft clavicular fractures.Methods:All 60 patients with midshaft clavicular fractures were randomLy received either intramedullary nail fixation or open reduction with plate fixation from June 2013 to February 2015.The blood loss,operation time,bone revealing time,complications,and Constant score were compared between the two groups.Results:The blood loss and operation time were significantly different between the two groups(P<0.05).They were followed up for 6 to 8 months,for 6.47±0.22 months averagely.The mean revealing time of fracture bone in intramedullary nail group was significantly lower than plate group(9.99±0.28 weeks versus 14.99±0.45 weeks,P<0.05).The Constant score was not significantly different between the two groups(92.00±1.20 versus 91.44±1.45 points,P>0.05),and the complication rate was not significantly different between the two groups(P>0.05).Conclusion:The percutaneous intramedullary nail fixation has the advantages of less soft tissue injury,less blood loss,shorter bone revealing time,and can also achieve well function.It is worth for clinical application.

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备注/Memo

备注/Memo:
收稿日期:2015-01-13
更新日期/Last Update: 2015-12-15