克氏针、重建钢板与锁定钢板治疗锁骨骨折的临床效果比较.docx

克氏针、重建钢板与锁定钢板治疗锁骨骨折的临床效果比较[摘要]目的比较克氏针、重建钢板与锁定钢板治疗锁骨骨折的临床效果为临床选择治疗方法提供依据。方法选择2011年6月～2014年6月本院骨科收治的锁骨骨折患者99例按照随机数字表法将其随机分为克氏针组、重建钢板组和锁定钢板组每组33例。观察指标为临床治疗优良率、手术时间、手术出血量、骨折愈合时间、生活质量及术后并发症。结果克氏针组、重建钢板组和锁定钢板组的优良率分别为90.9%、87.8%、93.9%3组比较差异无统计学意义（P>0.05）。3组的手术时间、骨折愈合时间比较差异均无统计学意义（P>0.05）；3组的手术出血量比较差异有统计意义（P0.05）。结论克氏针、重建钢板与锁定钢板治疗锁骨骨折的效果相当应根据患者的实际情况及要求确定手术方式。[关键词]锁骨骨折；克氏针；重建钢板；锁定钢板[中图分类号]R683.41[文献标识码]A[文章编号]1674-4721（2015）06（a）-0084-04ClinicaleffectcomparisonofKirschnerwirereconstructionplateandlockingplatetreatinginthetreatmentofclaviclefractureZHENGXue-junDepartmentofOrthopaedicstheSecondHospitalofZhangjiakouCityinHebeiProvinceZhangjiakou075000China[Abstract]ObjectiveTocomparetheclinicaleffectofkirschnerwirereconstructionplateandlockingplatetreatingclaviclefracturetoprovidebasisforselectionoftherapeuticmethodsinclinic.MethodsFromJune2011toJune201499patientswithclaviclefractureadmittedintoourdepartmentoforthopedicsinourhospitalwereevenlyandrandomlydividedintoKirschnerwiregroupreconstructionplategroupandlockingplategroupaccordingtotherandomnumbertablemethod.Theobservationalindexesincludedclinicaltherapeuticexcellentandgoodrateoperationtimeoperativeamountofbleedinghealingtimeoffracturequalityoflifeandpostoperativecomplications.ResultsTheclinicaltherapeuticexcellentandgoodrateintheKirschnerwiregroupreconstructionplategroupandlockingplategroupwas90.9%87.8%and93.9%respectivelyandtherewasnostatisticaldifferenceamong3groups（P>0.05）.Therewasnostatisticaldifferenceinoperationtimeandhealingtimeoffractureamong3groups（P>0.05）.Comparisonofoperativeamountofbleedingamong3groupsdisplayedstatisticaldifferences（P0.05）.ConclusionEffectofKirschnerwirereconstructionplateandlockingplatetreatingclaviclefracturearealmostthesame.Thesurgicalmodeshould