CAJ | 학술논문

[目的]探讨改良切口在锁骨钩钢板治疗锁骨远端骨折脱位中的应用价值。[方法]69例锁骨远端骨折脱位患者按照不同切口方式分为改良组和传统组，传统组30例患者给予传统切口手术进行治疗，改良组39例患者给予改良切口手术治疗，比较两组手术优良率及并发症等。[结果]两组手术优良率、手术时间、并发症发生率比较无显著性差异（ P ＞0．05）；改良组切口长度、伤口愈合时间、术中出血量与对照组比较有显著性差异（ P ＜0．05）。[结论]改良切口与传统切口在锁骨钩钢板治疗锁骨远端骨折脱位中的疗效无差异，但改良切口手术创伤小，术后恢复快。
[목적]탐토개량절구재쇄골구강판치료쇄골원단골절탈위중적응용개치。[방법]69례쇄골원단골절탈위환자안조불동절구방식분위개량조화전통조，전통조30례환자급여전통절구수술진행치료，개량조39례환자급여개량절구수술치료，비교량조수술우량솔급병발증등。[결과]량조수술우량솔、수술시간、병발증발생솔비교무현저성차이（ P ＞0．05）；개량조절구장도、상구유합시간、술중출혈량여대조조비교유현저성차이（ P ＜0．05）。[결론]개량절구여전통절구재쇄골구강판치료쇄골원단골절탈위중적료효무차이，단개량절구수술창상소，술후회복쾌。
[Objective] To explore the value of the modified incision in clavicular hook plate for the treat-ment of distal clavicular fracture .[Methods] According to different incision ,69 patients with distal claviclar fracture were divided into the modified group and traditional group .The traditional group(n=30) underwent traditional incision surgery ,while the modified incision group(n=39) underwent the modified incision surger-y .The excellence rate and complications were compared between two groups .[Results] There was no signifi-cant difference in the excellence rate of surgery ,operation time and complication rate between two groups ( P>0 .05) .There were significant differences in the length of incision ,wound healing time and intraoperative bleeding volume between two groups( P<0 .05) .[Conclusion] There is no significant difference in the effica-cy between the modified incision and traditional incision of clavicular hook plate for the treatment of distal clav-icle fracture ,but the modified incision surgery has small surgical trauma and faster postoperative recovery .