老年性锁骨中段骨折保守治疗与手术治疗的效果对比

Comparison of effects between conservative treatment and operative treatment for senile clavicle fracture at the intermediate piece

目的比较老年性锁骨中段骨折治疗中保守治疗与手术治疗的效果。方法 80例老年性锁骨中段骨折患者,根据治疗方法的不同分为手术组和保守组,各40例。手术组患者采用切开复位内固定术治疗,保守组患者采用简单上肢悬吊固定治疗。比较两组患者的治疗效果。结果手术组患者的骨折愈合优良率为100.0%,明显高于保守组的70.0%,差异具有统计学意义(P<0.05);手术组患者的并发症发生率为5.0%,低于保守组的25.0%,差异具有统计学意义(P<0.05);治疗后3、6个月,手术组患者的肩关节功能评分均高于保守组,差异具有统计学意义(P<0.05)。结论在老年性锁骨中段骨折治疗中,手术治疗效果更好,能减少并发症的发生,促使患者肩关节功能恢复,提高生活质量。

Objective To compare effects between conservative treatment and operative treatment for senile clavicle fracture at the intermediate piece. Methods A total of 80 senile patients with clavicle fracture at the intermediate piece were divided by different treatment measures into operative group and conservative group, with 40 cases in each group. The operative group received open reduction internal fixation for treatment, and the conservative group received simple upper limb suspending fixation for treatment. Curative effects were compared between the two groups. Results The operative group had obviously higher good rate of fracture healing as 100.0% than 70.0% in the conservative group, and the difference had statistical significance（P〈0.05）. The operative group had incidence of complications as 5.0%, which was lower than 25.0% in the conservative group, and the difference had statistical significance（P〈0.05）. In 3 and 6 months after treatment, the operative group had all higher shoulder function scores than the conservative group, and the difference had statistical significance（P〈0.05）. Conclusion Operative treatment shows better curative effect in the treatment of senile clavicle fracture at the intermediate piece. This method can reduce complications, accelerate shoulder function rehabilitation, and improve quality of life.