摘要
目的:探讨克氏针钢丝内固定术和重建钢板内固定术治疗锁骨骨折疗效差异,指导临床选择合理的治疗方案。方法:2012年12月-2013年12月收治锁骨骨折患者80例,随机分成重建钢板内固定组和克氏针钢丝内固定组各40例。结果:重建钢板内固定组骨折愈合时间(8.7±1.1)个月,医疗费用(5 171.2±112.1)元,发生并发症4例(10.0%),优良38例(95.0%)。克氏针钢丝内固定组骨折愈合时间(8.8±0.9)个月,医疗费用(3 299.5±101.3)元,发生并发症12例(30.0%),优良30例(75.0%)。两组比较有显著性差异(P<0.05)。结论:克氏针钢丝内固定术和重建钢板内固定术治疗锁骨骨折各有优点,在临床疗效和并发症的发生方面重建钢板内固定术明显优于克氏针钢丝内固定术,但费用较高。
Objective:To investigate the differences of curative effect of kirschner wire internal fixation and reconstruction plate internal fixation in the treatment of clavicular fracture,to guide choosing the rational treatment in clinical.Methods: 80 cases of patients with clavicular fracture were admited from December 2012 to December 2013,who were randomly divided into reconstruction plate internal fixation group and kirschner wire internal fixation group with 40 patients in each group.Results:In the reconstruction plate internal fixation group,the wound healing time was 8.7 ± 1.1 months,and the hospitalization cost was 5171.2±112.1 yuan.Complications occurred in 4 cases(10%).The excellent and good was 38 cases(95%).In the kirschner wire internal fixation,the wound healing time was 8.8±0.9 months,and the hospitalization cost was 3299.5±101.3 yuan.Complications occurred in 12 cases(30%).The excellent and good was 30 cases(75%).There were significant difference between two groups(P< 0.05).Conclusion:Kirschner wire internal fixation and reconstruction plate internal fixation in the treatment of clavicle fracture, each have their own advantages.In the aspect of clinical effect and complication occurrence,the reconstruction plate internal fixation is superior to the kirschner wire internal fixation,but the cost is higher.
关键词
克氏针钢丝内固定术
重建钢板内固定术
锁骨骨折
Kirschner wire internal fixation
Reconstruction plate internal fixation
Clavicular fracture
