解剖型锁定钢板治疗锁骨骨折的疗效
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(常州市中医院,江苏 常州 213003)

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盛永华,男,副主任医师,主要从事骨伤科工作。

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R 683

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Clinical Effect of Anatomical Locking Plate in Treatment of Clavicular Fracture
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(Changzhou Traditional Chinese Medicine Hospital, Jiangsu Changzhou 213003)

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    摘要:

    〔摘 要〕 目的:分析对锁骨骨折患者行解剖型锁定钢板治疗方式的临床疗效。方法:选择常州市中医院 2016 年 1 月至 2020 年 1 月期间收治的 50 例锁骨骨折患者,按随机分组法分为观察组(36 例,接受解剖型锁定钢板治疗方式)和对照组 (14 例,接受传统手法复位治疗方式)。比较两组患者治疗效果、创伤愈合情况。结果:观察组患者治疗总有效率为 100.00 %, 高于对照组的 85.71%,差异具有统计学意义(P < 0.05);观察组患者并发症总发生率为 2.78 %,低于对照组的 21.43 %, 差异具有统计学意义(P < 0.05);观察组所需康复时间为(1.84 ± 0.54)个月,短于对照组的(2.15 ± 0.61)个月,差异 具有统计学意义(P < 0.05)。结论:对锁骨骨折患者行解剖型锁定钢板治疗方式,可帮助患者骨折处骨骼进行固定,使 其处于较稳定的愈合状态,缩短患者的恢复时间,提升其整体的治疗效果,有效减少骨不连等并发症的发生率,确保患者 外形的美观。

    Abstract:

    〔Abstract〕Objective To analyze the clinical effect of anatomical locking plate in treatment of clavicular fracture. Methods 50 cases of patients with clavicular fracture treated in Changzhou Traditional Chinese Medicine Hospital from January 2016 to January 2020 were selected, and randomly divided into observation group (36 cases, treated with anatomical locking plate) and control group (14 cases, treated with traditional manual reduction)according to the random grouping method. Then, the treatment effect and wound healing of two groups of patients were compared. Results The total effective rate in the observation group was 100.00%, which was higher than 85.71% in the control group, and the difference was statistically significant (P < 0.05); The total incidence of complications in the observation group was 2.78%,which was lower than 21.43% in the control group, and the difference was statistically significant (P < 0.05); the rehabilitation time in the observation group was (1.84 ± 0.54) months, which was shorter than (2.15 ± 0.61) months in the control group, and the difference was statistically significant (P < 0.05). Conclusion Applying anatomical locking plate in treatment of clavicular fracture can help the patient fix the bone at the fracture, make it in a stable healing state, shorten the recovery time of the patient, improve the overall treatment effect, effectively reduce the incidence of complications such as bone nonunion, and ensure the beauty of the patient's appearance.

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  • 收稿日期:2021-07-20
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  • 在线发布日期: 2022-04-18
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