Logistic回归分析非手术治疗锁骨骨折不愈合的因素  

Factors for nonunion after nonoperative treatment of mid-shaft clavicular fractures based on logistic analysis

作　　者：杨杰[1] 陆军[1] 曾宪帆[1] 张蔚然[1] 王威[1] 

机构地区：[1]天津市公安医院骨科,天津300040

出　　处：《中国城乡企业卫生》2015年第6期151-153,共3页Chinese Journal of Urban and Rural Enterprise Hygiene

摘　　要：目的评价锁骨中段骨折后经非手术治疗发生骨折不愈合的风险因素。方法本研究回顾性分析经非手术治疗的145例锁骨中段骨折患者,其中16例患者不愈合。使用单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。结果通过单变量分析,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,差异有统计学意义(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 mid-shaft clavicular fractures of nonunion after nonop- erative treatment. Methods We per formed a retrospective study of a series of 145 patients with a radio- graphically confirmed fracture of the mid-shaft clavicle, which was treated nonoperatively. 16 patients un- derwent nonunion. The influences of several potential risk factors that might affect the nonunion were as- sessed using bivariate and multivariate analyses. Results By analysis, the risk of nonunion was significantly increased by several intrinsic risk factors including age, sex, smoking, displacement of the fracture and the presence of comminution for all （P〈0.05）. On multivariate analysis, smoking, fracture displacement andcomminution of fracture were identified as independent predictive factors. Conclusions The risk factors fi）r nonunion after nonoperative treatment in mid-shaft clavicular fractures are multifaetorial. Smoking, fracture displacement 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 不愈合 

分 类 号：R641[医药卫生—外科学]