单纯悬吊法与双圈固定法治疗儿童锁骨骨折的效果对比

Comparison of the effect of simple suspension method and double ring fixation in treatment of children with clavicle fracture

目的:观察单纯悬吊法与双圈固定法对儿童锁骨骨折的治疗效果。方法:以2013年6月至2014年9月在我院接受治疗的80例锁骨骨折儿童为观察对象,并将其随机分为对照组和观察组。其中对照组给予单纯悬吊法治疗,观察组给予双圈固定法治疗,并对患儿进行为期1年的随访。结果:观察组患儿治疗效果为优的例数多于对照组,其优良率明显高于对照组,差异具有统计学意义(P<0.05);对照组患儿中出现骨不愈合、畸形愈合和延迟愈合的例数分别为5例、4例和6例,而观察组仅有1例患儿出现了骨延迟愈合,其骨愈合结局明显好于对照组(P<0.05);治疗后,两组患儿的CS各维度评分和总分均升高,且观察组患儿上述指标的升高较对照组明显(P<0.05)。结论:双圈固定法较单纯悬吊法对儿童锁骨骨折有较好的治疗效果,可促进骨折的正常愈合,提高患儿的肩关节活动功能,值得在临床推广应用。

Objective： To observe the therapeutic effect with the method of suspension and double circle ifxation of children with clavicle fracture.Methods：80 cases of clavicle fracture treated in our hospital were randomly divided into control group and observation group from June 2013 to September 2014. hTe control group was treated with the suspension method and the observation group was treated with double circle ifxation method. hTese two groups were performed for 1 year follow-up.Results：hTe cases with good treatment effect in the observation group were more than these in control group, the excellent and good rate was significantly higher than that in the control group （P〈0.05）. In the control group, there were 5 cases with bone nonunion, 4 cases with deformity healing and 6 cases with delayed union. However, there was only 1 case with delayed union. Also, the healing of bone healing rate was signiifcantly better than that in control group （P〈0.05）. Atfer treatment, the CS scores and total scores of the two groups were all increased. Also, the scores of observation group were signiifcantly higher than these of the control group （P〈0.05）.Conclusion： Double circle fixation method is the better method for treatment of children clavicle fracture, which can promote the normal healing of fracture and improve the function of shoulder joint activity. It is worthy of clinical popularization and application.