中外医疗
中外醫療
중외의료
China Foreign Medical Treatment
2015年
27期
76-77
,共2页
经皮微创%锁定重建钢板%开放内固定术%锁骨中段移位骨折
經皮微創%鎖定重建鋼闆%開放內固定術%鎖骨中段移位骨摺
경피미창%쇄정중건강판%개방내고정술%쇄골중단이위골절
Percutaneous minimally invasive%Lock reconstruction plate%Open internal fixation%Displaced midshaft clavicle frac-tures
目的 对比经皮微创锁定重建钢板与传统开放内固定术治疗锁骨中段移位骨折的疗效. 方法 将整群选取的2013年2月-2014年8月期间收治的96例锁骨中段位移骨折患者均分为两组,每组各48例,对照组采取传统开放内固定术进行治疗,观察组采取经皮微创锁定重建钢板进行治疗,观察对比两组患者术中及术后各项情况变化. 结果 观察组术后皮肤刺激征及固定器失效率分别为8.33%、2.08%,均明显优于对照组,组间差异有统计学意义(P<0.05). 观察组手术时间、手术出血量、住院时间以及骨折处愈合时间均显著优于对照组(P<0.05). 结论 采取经皮微创锁定重建钢板治疗锁骨中段移位骨折,手术用时和住院时间短,且术中出血量少,患者恢复更快.
目的 對比經皮微創鎖定重建鋼闆與傳統開放內固定術治療鎖骨中段移位骨摺的療效. 方法 將整群選取的2013年2月-2014年8月期間收治的96例鎖骨中段位移骨摺患者均分為兩組,每組各48例,對照組採取傳統開放內固定術進行治療,觀察組採取經皮微創鎖定重建鋼闆進行治療,觀察對比兩組患者術中及術後各項情況變化. 結果 觀察組術後皮膚刺激徵及固定器失效率分彆為8.33%、2.08%,均明顯優于對照組,組間差異有統計學意義(P<0.05). 觀察組手術時間、手術齣血量、住院時間以及骨摺處愈閤時間均顯著優于對照組(P<0.05). 結論 採取經皮微創鎖定重建鋼闆治療鎖骨中段移位骨摺,手術用時和住院時間短,且術中齣血量少,患者恢複更快.
목적 대비경피미창쇄정중건강판여전통개방내고정술치료쇄골중단이위골절적료효. 방법 장정군선취적2013년2월-2014년8월기간수치적96례쇄골중단위이골절환자균분위량조,매조각48례,대조조채취전통개방내고정술진행치료,관찰조채취경피미창쇄정중건강판진행치료,관찰대비량조환자술중급술후각항정황변화. 결과 관찰조술후피부자격정급고정기실효솔분별위8.33%、2.08%,균명현우우대조조,조간차이유통계학의의(P<0.05). 관찰조수술시간、수술출혈량、주원시간이급골절처유합시간균현저우우대조조(P<0.05). 결론 채취경피미창쇄정중건강판치료쇄골중단이위골절,수술용시화주원시간단,차술중출혈량소,환자회복경쾌.
Objective To compare the efficacy between minimally invasive percutaneous locking reconstruction plate and tradition-al open internal fixation in the treatment of displaced clavicular fractures. Methods 96 patients with displaced midshaft clavicular fractures admitted between February 2013 and August 2014 were assigned to two groups with 48 in each one. The control group underwent traditional open internal fixation, while the observation group was treated with minimally invasive percutaneous locking reconstruction plate. The changes of intraoperative and postoperative indicators were observed and compared between the two groups. Results The rate of skin stimulus and fixation failure were 8.33%, 2.08%in the observation group, significantly superior to those in the control group, and there were statistically significant differences between them (P<0.05). The operation duration, intra-operative blood loss, hospital stay, as well as the fracture healing time were all less in the observation group than in the control group (P<0.05). Conclusion Minimally invasive percutaneous locking reconstruction plate in treatment of displaced midshaft clavi-cle fractures can bring shorter operative time and length of stay, less bleeding during the operation, and quick recovery.
