CAJ | 학술논문

目的：探讨微创经皮锁定钢板治疗锁骨骨折的临床疗效及安全性。方法选取锁骨骨折患者84例，随机分为两组，各42例。研究组采用微创经皮锁定钢板治疗，对照组采用重建钢板治疗。比较两组的疗效及安全性的差异。结果研究组平均愈合时间显著短于对照组(P<0.05)；手术治疗后，研究组愈合时间超过8周的患者显著少于对照组(P<0.05)；研究组的治疗效果优良率显著高于对照组(P<0.05)；两组不良事件例数的差异无统计学意义(P>0.05)，但研究组各不良事件及总不良事件均少于对照组。结论微创经皮锁定钢板治疗锁骨骨折的临床疗效好，安全性高。
목적：탐토미창경피쇄정강판치료쇄골골절적림상료효급안전성。방법선취쇄골골절환자84례，수궤분위량조，각42례。연구조채용미창경피쇄정강판치료，대조조채용중건강판치료。비교량조적료효급안전성적차이。결과연구조평균유합시간현저단우대조조(P<0.05)；수술치료후，연구조유합시간초과8주적환자현저소우대조조(P<0.05)；연구조적치료효과우량솔현저고우대조조(P<0.05)；량조불량사건례수적차이무통계학의의(P>0.05)，단연구조각불량사건급총불량사건균소우대조조。결론미창경피쇄정강판치료쇄골골절적림상료효호，안전성고。
Objective To investigate the clinical efficacy and safety of minimally invasive percutaneous locking compression plate fixation in the treatment of clavicle fracture. Methods 84 patients with clavicle fracture were randomly divided into observation group (42 cases) and control group (42 cases) respectively. The observation group received minimally invasive percutaneous locking compression plate fixation, the control group was given reconstruction plate fixation. The effect and safety were compared between two groups. Results The average healing time of the observation group was significantly shorter than that of the control group (P<0.05);the number of patients whose healing time was more than 8 weeks of observation group was significantly less than that of the control group (P<0.05);the excellent and good rate of clinical efficacy of the observation group was significantly higher than that of the control group (P<0.05);the adverse event of two groups had no statistical significance difference (P>0.05), but the adverse event incidence of the observation group was less than that of the control group. Conclusions Minimally invasive percutaneous locking compression plate fixation has good clinical efficacy and higher safety in treating clavicle fracture.