手术与非手术治疗成人锁骨中段移位性骨折比较  

Comparative analysis of operative and nonoperative treatment of displaced mid-clavicular fractures in adults

作　　者：曹拓 CAOTuo(Third Surgical Department,Third Bureau Hospital /0 Dongguan,Dongguan,Guangdong 523710,China)

机构地区：[1]东莞三局医院外三科,广东东莞523710

出　　处：《现代临床医学》2018年第3期203-205,共3页Journal of Modern Clinical Medicine

摘　　要：目的:对比分析通过手术方法和非手术方法对成人锁骨中段移位性骨折的治疗效果。方法:选取2013年4月至2017年4月期间成人锁骨中段移位性骨折患者60例,根据患者自身意愿采用不同的治疗方案,分为手术组和非手术组,各30例。比较两组疗效、肩关节功能评分和并发症情况。结果:手术组和非手术组患者的优良率分别为90.00%和63.33%,两组差异具有统计学意义(P<0.05);手术组肩关节活动度、功能活动强度、肌力、疼痛感评分及总评分均高于非手术组(P<0.05);手术组患者并发症发生率显著性低于非手术组(P<0.05)。结论:治疗成人锁骨中段移位性骨折,采用手术治疗更有助于患者的恢复,可降低并发症的发生率,减少患者骨折畸形率,值得临床推广使用。Objective： To compare and analyze the effectiveness of operative and nonoperative treatment for displaced midclavicular fractures in adults. Methods： From April 2013 to April 2017,60 patients with displaced mid-clavicular fractures were selected and treated differently according to their own willingness. They were divided into operative group and nonoperative group,30 cases in each group. The curative rate,shoulder function score and complications were compared between the two groups.Results： The excellent rates of the operative group and the nonoperative group were 90. 00% and 63. 33%,respectively,and the difference between the two groups was statistically significant（P〈0. 05）; the shoulder joint activity,functional activity intensity,muscle strength,pain perception scores and the total score of the operative group were significantly higher than those of the nonoperative group（P〈0. 05）; and the complication incidence of the operative group was significantly lower than that of the nonoperative group（P〈0. 05）. Conclusion： The operative treatment for adults with displaced mid-clavicular fractures is more conducive to the recovery of patients,decrease the incidence of complications and reduce the probability of fracture deformity,which is worthy of clinical promotion and application.

关 键 词：手术 非手术 锁骨中段骨折 移位性骨折 

分 类 号：R683.1[医药卫生—骨科学]