CAJ | 학술논문

目的：对比研究小切口克氏针内固定与小切口钢板内固定治疗青年锁骨中段A型骨折的临床疗效。方法选取我院2012年2月~2014年2月收治的82例锁骨中段A型骨折患者,根据患者治疗术式的不同分为克氏针内固定组(40例)和钢板内固定组(42例),其中克氏针内固定组患者选用小切口克氏针内固定,钢板内固定组选用小切口钢板内固定,对比两组患者固定疗效。结果克氏针内固定组患者治疗优良率为85.00%,钢板内固定组患者优良率为85.71%,,两组患者临床疗效差异无统计学意义(P>0.05)。但克氏针内固定组患者骨愈合率为70.00%,钢板内固定组为45.23%,两者差异显著(P<0.05)。结论小切口克氏针内固定及小切口钢板内固定在锁骨骨折治疗工作中均切实可行,各有优势,其中小切口克氏针内固定术中损伤小,患者术后骨愈合快,但其内固定物易出现松动、脱出；而小切口钢板内固定伴有相对较大手术损伤,患者骨愈合较慢,但其内固定稳定性高。因此,在实际治疗工作中,医师需根据患者具体情况来确定手术方案。
목적：대비연구소절구극씨침내고정여소절구강판내고정치료청년쇄골중단A형골절적림상료효。방법선취아원2012년2월~2014년2월수치적82례쇄골중단A형골절환자,근거환자치료술식적불동분위극씨침내고정조(40례)화강판내고정조(42례),기중극씨침내고정조환자선용소절구극씨침내고정,강판내고정조선용소절구강판내고정,대비량조환자고정료효。결과극씨침내고정조환자치료우량솔위85.00%,강판내고정조환자우량솔위85.71%,,량조환자림상료효차이무통계학의의(P>0.05)。단극씨침내고정조환자골유합솔위70.00%,강판내고정조위45.23%,량자차이현저(P<0.05)。결론소절구극씨침내고정급소절구강판내고정재쇄골골절치료공작중균절실가행,각유우세,기중소절구극씨침내고정술중손상소,환자술후골유합쾌,단기내고정물역출현송동、탈출；이소절구강판내고정반유상대교대수술손상,환자골유합교만,단기내고정은정성고。인차,재실제치료공작중,의사수근거환자구체정황래학정수술방안。
Objective To contrast study the needle was smal incision fixation with smal incision youth plate internal fixation for clavicle middle type A fractures of the clinical curative ef ect.Methods Selection our hospital 2012.2~2012.2 the treated 82 patients with fracture of clavicle middle type A,depending operation and the needle was divided into internal fixation group(40cases)and steel plate internal fixation group (42cases),compared two groups of patients with fixed ef ect.Results Gram needle fixation treatment group patients was 85.00%,fine steel plate internal fixation group patients was 85.71%,and there was no statistical y significant dif erence clinical ef icacy ( >0.05).But bone healing rate was70.00%,the steel plate internal fixation group was45.23%,which significant dif erence ( <0.05).Conclusion Smal incision gram needle fixation and smal incision plate internal fixation in the treatment of clavicle fracture are feasible,postoperative patients with bone healing fast,but its easy to loosen;Accompanied by a relatively large and smal incision plate fixation surgery injury,patients with bone healing slowly,but its fixed high stability.Therefore,doctors need to determine the surgical plan according to patients with specific symptoms.