闭合复位髓内钉与切开复位接骨板固定治疗锁骨中段骨折的疗效及日常生活水平分析

Analysis of the Curative Effect and Daily Living Standard of Closed Reduction Intramedullary Nail and Open Reduction Plate Fixation in the treatment of Middle Clavicular Fracture

目的:研究并比较闭合复位髓内钉与切开复位接骨板固定治疗锁骨中段骨折的临床效果及对其日常生活水平的影响。方法:选取2013年1月至2016年7月期间我院接收的100例锁骨中段骨折患者,采取计算机单盲随机分组法随机分为两组,每组50例,A组采取闭合复位髓内钉固定治疗,B组采取切开复位接骨板固定治疗,比较两组患者的手术情况、预后情况。结果:A组患者的术中失血量、手术时间少于B组(P<0.05),其骨折愈合时间短于B组(P<0.05);A组的并发症发生率高于B组(P<0.05);手术后,两组患者的CM评分均优于手术前(P<0.05),而两组患者手术后比较无统计学差异(P>0.05)。结论:闭合复位髓内钉固定与切开复位接骨板固定均可有效改善锁骨中段骨折患者的肩关节功能,各有其优缺点,临床医师应根据患者的具体情况选择固定方式。

Objective： To study and compare the clinical effect of closed reduction intramedullary nail and open reduction and plate fixation for the treatment of clavicular fracture. Methods： During January 2013 to July 2016,100 cases of clavicle fracture patients who received in the hospital were selected and randomly divided into two groups by taking computer single blind randomized grouping method,50 cases in each group.Group A was treated with closed reduction and intramedullary nail fixation. Group B was treated with open reduction and plate fixation. The operation,prognosis and quality of life were compared between two groups. Results： The intraoperative blood loss and operative time in group A were significantly less than group B（P 〈0.05）,the fracture healing time was significantly shorter than group B（P 〈 0. 05）; the complication rate in group A was higher than group B（P 〈0.05）; after the operation,the CM score in two groups was significantly better than those before operation（P 〈0.05）,and two groups after surgery had no significant difference（P 〉0.05）. Conclusion： Closed reduction and intramedullary nail fixation and open reduction and plate fixation of clavicle can effectively improve shoulder joint function in patients with clavicle fractures,each has its advantages and disadvantages,clinicians should choose a fixed way according to the specific circumstances of patients.