手术治疗锁骨骨折临床分析

Clinical analysis of surgery for clavicle fracture

目的：分析手术治疗锁骨骨折的临床效果。方法：选取2008年4月～2013年4月于我院收治的100例锁骨骨折患者为研究对象，随机分为克氏针内固定组和钢板固定组，术后随访，比较不同手术治疗方式的临床疗效及不良反应。结果：克氏针内固定的优良率为84％，而钢板固定的优良率为90％，2组比较，具有显著性差异（P〈0．05），克氏针内固定的不良反应发生率明显高于钢板固定方式（P〈0．05），分别为16％和6％。结论：治疗锁骨骨折时，应根据骨折类型和位置，选择合适的手术方式，能显著促进骨折愈合，减少不良反应，恢复关节功能。

Objective： To analyze the clinical effect of the surgery for clavicle fracture. Methods ： 100 cases from 2010 April to 2013 A- pril of clavicle fracture that treated in our hospital were selected as research object, randomly divided into Kirschner wire fixation group and plate fixation group. Patients were followed up after the operation, comparing the curative effect and adverse reactions of different sur- gical treatment. Results：The excellent and good rate of the Kirschner wire fixation was 84%, and the excellent and good rate of the plate fixation was 90% , with significant difference （ P 〈 0.05 ） , and adverse reaction rate of the Kirschner wire fixation was significantly high- er than that of plate fixation （P 〈 0.05 ）, respectively 16% and 6%. Conclusion：The treatment of clavicle fracture fracture should select the appropriate operation method according to the fracture type and location, only in this way can obviously promote the fracture healing, reduce adverse reactions, and recover Joint function.