重建钢板和克氏针治疗锁骨骨折的临床对比分析研究

Clinical Comparison of Effect of Clavicle Fracture Treated with Internal Fixation with Reconstruction Plate and Kirschner’s Wire

目的:探讨分析重建钢板和克氏针两种不同内固定治疗锁骨骨折的临床疗效。方法:选择86例锁骨骨折患者,30例采用克氏针内固定,56例重建钢板内固定,观察比较两种内固定方法在术中出血量、手术时间、平均住院时间、临床疗效评价的差异。结果:重建钢板组手术时间、术后优良率与克氏针组比较,差异有统计学意义(P<0.01)。结论:与克氏针内固定相比,重建钢板治疗复杂锁骨骨折临床有效率高,术后并发症少,值得临床推广应用。

Objective ： To compare the clinical effects of Kirsehaner＇ s wire and reconstruction plate in treatment of clavicle fracture. Methods ： 86 clavicle fracture patients were analyzed, who were treated with internal fixation. 30 cases were treated with Kirschaner＇ s wire and 56 were treated with reconstruction plate fixation. To comprise the two treated groups in terms of the blood loss, operative time, the average hospital time and clinical effect evaluation. Results ： There was significantly different in the mean operative time, the excellent rate after the operation between the two groups（P〈0.01）. Conclusion ： The reconstruction plate has a better fixation effect for the complex clavicle fracture, and has less postoperative complications, so it is worthy of clinical application.