手术与传统疗法对锁骨骨折患者远期生活质量的影响

Long-term quality of life study in patients with clavicular fracture treated with surgery or traditional non-surgery

目的:比较锁骨骨折手术与传统疗法的远期疗效。方法:对2002年5月～2004年5月收治的96例14～72岁单侧锁骨骨折患者实施手术或传统疗法治疗,并随访5～7年。对每个患者进行远期生活质量评分和分类。依据生活质量评分比较手术与传统疗法的远期疗效差异。结果:手术治疗组55例,生活质量优30例、良21例、可4例;传统疗法治疗组41例,生活质量优25例、良15例、可1例。按生活质量评价标准,传统疗法与手术疗法远期疗效无明显差异。结论:传统疗法可以作为锁骨骨折患者的首选治疗方法。

Objective： To compare the long-term effects following surgery or traditional non-surgery of clavicular fractures. Methods： From May 2002 to May 2004, a total of 96 patients,who was 14-72 years old and had the fracture of clavicle, were treated with surgery or traditional non-surgery treatment and followed up for 5 years to 7 years after treatment. The long-term quality of life in all patients was evaluated and classified. The long-term effects of surgery or traditional non- surgery of clavicular fractures was assessed according to the quality of life criteria. Results： According to the quality of life criteria, 30 were excellent, 21 were good,and 4 were medium of the 55 patients of operative treatment. 25 were excellent, 15 were good,and 1 was medium of the 41 patients of non-operative treatment. There was no difference between the two ways of treatment. Conclusion： We consider that traditional non-surgery treatment is the first selected curative method in clavicular fracture.