克氏针内固定术与钢板内固定术治疗锁骨骨折的临床疗效比较

目的:比较克氏针内固定术与钢板内固定术在锁骨骨折患者中的临床疗效和安全性。方法:收集我院收治的的70例锁骨骨折患者,随机分为克氏针内固定组和钢板内固定组,每组35例。克氏针内固定组患者给予克氏针内固定术,钢板内固定组患者采用钢板内固定术,观察并比较两组患者手术时间、住院时间,术中出血量,畸形愈合、延迟愈合、肩关节疼痛、切口感染、钢板断裂等并发症的发生率以及临床疗效。结果:与钢板内固定组相比,克氏针内固定组患者的手术时间以及住院时间较短,术中出血量较少,但并发症发生率较高,临床治疗优良率较低,差异具有统计学意义(P0.05)。结论:钢板内固定组患者的临床效果较好,并发症发生率较低,但克氏针内固定方法在手术时间、住院时间,术中出血量方面具有一定的优势。

Comparison of the Clinical Therapeutic Effect of Internal Fixation and Plate Fixation for Patients with Clavicle Fracture

ABSTRACT Objective: To compare the clinical effect and safety of internal fixation and plate fixation in the treatment of patients with clavicle fracture. Methods: 70 cases of clavicle fracture were collected from our hospital, all patients were randomly divided into two groups, 35 cases in each group. All patients were given corresponding treatment measures after admission. Kirschner wire internal fixation group were given internal fixation with Kirschner wire, plate fixation group was given plate internal fixation, the operation time, hospitalization time, amount of bleeding, malunion, and delayed healing, pain of shoulder joint, infection of incision, plate breakage com- plications occur rate and clinical efficacy were observed and compared between the two groups of patients. Results: Compared with plate fixation group, the operation time and hospital stay were significantly shorter in the Kirschner wire fixation group, the operative bleeding was less, but the incidence rate of complications was higher, and the excellent rate of clinical treatment was relatively lower, the differ- ence were statistically significant (P<0.05). Conclusion: Plate fixation had better clinical effect, lower incidence of complications in the treatment of patients with clavicle fracture, but Kirschner wire internal fixation methods had advantages of operation time, hospitalization time, intraoperative bleeding volume.