非手术治疗锁骨中段骨折不愈合的风险因素分析  

Risk factors for nonunion after nonoperative treatment of mid- shaft clavicular fractures

作　　者：杨阳[1,2] 王亚薇[3] 马剑雄[4] 马信龙[2] 金鸿宾[2] 

机构地区：[1]天津中医药大学,天津300193 [2]天津市天津医院骨科,天津300211 [3]天津市天津医院肌电图室,天津300211 [4]天津市中西医结合骨科研究所生物力学实验室,天津300211

出　　处：《中国矫形外科杂志》2015年第22期2067-2069,共3页Orthopedic Journal of China

基　　金：国家自然科学基金项目(编号:81102607);天津市科技支撑重点项目(编号:13ZCZDSY01700);天津市卫计委科技基金项目(编号:2014KY31)

摘　　要：[目的]〗探讨锁骨中段骨折经非手术治疗后不愈合的风险因素。[方法]本研究回顾性分析经非手术治疗的785例锁骨中段骨折患者,其中87例患者不愈合。使用双变量和多变量分析来评估可能导致骨折不愈合的风险因素。[结果]通过双变量分析,不愈合明显增加的风险因素包括年龄、性别、吸烟、骨折移位和粉碎性骨折(P<0.05)。多变量分析显示吸烟、骨折移位和粉碎性骨折是独立的风险因素。[结论]锁骨中段骨折经非手术治疗不愈合的风险因素是多方面的,吸烟、骨折移位和粉碎性骨折是不愈合的独立风险因素。[ Objective ] To discuss the risk factors of nonunion of mid - shaft clavicular fractures after nonoperative treat- ment. [ Method] In a total of 1037 patients with mid - shaft clavicular fractures ,785 patients met out exclusive criteria and were enrolled in this study. All 785 patients received nonoperative treatment and 87 fractures were found nonunion,with the nonunion rate of 11.1%. The influences of several potential risk factors that might affect the nonunion were assessed using bivariate and multivariate analyses. [ Result] Bivariate analysis showed that the intrinsic risk factors included age,gender, smoking,displace- ment of the fracture and the presence of comminution （ P 〈 0.05 for all）. On multivariate Logistic regression model analysis, smoking, fracture displacement and comminution of fracture were identified as independent predictive factors. [ Conclusion ] The risk factors for nonunion after nonoperative treatment in mid - shaft clavicular fractures are muhifactorial. Smoking, fracture dis- placement and comminution of fracture are independently predictions for an individual likelihood of nonunion.

关 键 词：锁骨骨折 非手术治疗 风险因素 不愈合 

分 类 号：R687.3[医药卫生—骨科学]