微创经皮锁定钢板治疗锁骨骨折的疗效和安全性分析

Analysis of Efficacy and Safety of Minimally Invasive Percutaneous Locking Compression Plate Fixation in Treatment of Clavicle Fracture

目的探讨微创经皮锁定钢板治疗锁骨骨折的临床疗效及安全性。方法选取锁骨骨折患者84例,随机分为两组,各42例。研究组采用微创经皮锁定钢板治疗,对照组采用重建钢板治疗。比较两组的疗效及安全性的差异。结果研究组平均愈合时间显著短于对照组(P<0.05);手术治疗后,研究组愈合时间超过8周的患者显著少于对照组(P<0.05);研究组的治疗效果优良率显著高于对照组(P<0.05);两组不良事件例数的差异无统计学意义(P>0.05),但研究组各不良事件及总不良事件均少于对照组。结论微创经皮锁定钢板治疗锁骨骨折的临床疗效好,安全性高。

Objective To investigate the clinical efficacy and safety of minimally invasive percutaneous locking compression plate fixation in the treatment of clavicle fracture. Methods 84 patients with clavicle fracture were randomly divided into observation group （42 cases） and control group （42 cases） respectively. The observation group received minimally invasive percutaneous locking compression plate fixation, the control group was given reconstruction plate fixation. The effect and safety were compared between two groups. Results The average healing time of the observation group was significantly shorter than that of the control group （P〈0.05）;the number of patients whose healing time was more than 8 weeks of observation group was significantly less than that of the control group （P〈0.05）;the excellent and good rate of clinical efficacy of the observation group was significantly higher than that of the control group （P〈0.05）;the adverse event of two groups had no statistical significance difference （P〉0.05）, but the adverse event incidence of the observation group was less than that of the control group. Conclusions Minimally invasive percutaneous locking compression plate fixation has good clinical efficacy and higher safety in treating clavicle fracture.