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1、克氏针、重建钢板与锁定钢板治疗锁骨骨折的临床效果比较［摘耍］目的比较克氏针、重建钢板与锁定钢板治疗锁骨骨折的临床效果，为临床选择治疗方法提供依据。方法选择2011年6月〜2014年6月本院骨科收治的锁骨骨折患者99例，按照随机数字表法将其随机分为克氏针组、重建钢板组和锁定钢板组，每组33例。观察指标为临床治疗优良率、手术时间、手术出血量、骨折愈合时间、生活质量及术后并发症。结果克氏针组、重建钢板组和锁定钢板组的优良率分别为90.9%.87.8%.93.9%,3组比较差异无统计学意义(P>0.05)o3组的手术时间、骨折愈合时间比较，差异均无统计学意义(P〉0・05)；3组的手术出血量比较
2、，差异有统计意义(P0.05)o克氏针组、重建钢板组和锁定钢板组的术后并发症发生率分别为15.2%、18.2%、12.1%,3组比较差异无统计学意义(卩>0.05)。结论克氏针、重建钢板与锁定钢板治疗锁骨骨折的效果相当，应根据患者的实际情况及要求确定手术方式。［关键词］锁骨骨折；克氏针；重建钢板；锁定钢板［中图分类号］R683.41［文献标识码］A［文章编号］1674-4721(2015)06(a)-0084-04ClinicaleffectcomparisonofKirschnerwire,reconstructionplate,andlockingplatetreatinginthe
3、treatment,ofclaviclefractureZHENGXue-junDepartmentofOrthopaedics,theSecondHospitalofZhangjiakouCityinHebeiProvince,Zhangjiakou075000,China[Abstract]ObjectiveTocomparetheclinicaleffectofkirschnerwire,reconstructionplate,andlockingplatetreatingclaviclefracturetoprovidebasisforselect!onoftherapeutic
4、methodsinclinic・MethodsFromJune2011toJune2014,99patientswithclaviclefractureadmittedintoourdepartmentoforthopedicsinourhospitaiwereevenlyandrandomlydividedintoKirschnerwiregroup,reconstructionplategroup,andlockingplategroupaccordingtotherandomnumbertablemethod.Theobservationalindexesincludedclini
5、caltherapeuticexcellentandgoodrate,operationtime,operativeamountofbleeding,healingtimeoffracture,qualityoflife,andpostoperativecomplications.ResultsTheclinicaltherapeuticexcellentandgoodrateintheKirschnerwiregroup,reconstructionplategroup,andlockingplategroupwas90.9%,87.8%，and93.9%respectively,an
6、dtherewasnostatisticaldifferenceamong3groups(P>0.05).Therewasnostatisticaldifferenceinoperationtimeandhealingtimeoffractureamong3groups(P>0.05)・Comparisonofoperativeamountofbleedingamong3groupsdisplayedstatisticaldifferences(P0.05).Theincidencerateofpostoperativecomplicationinthreegroupswas15.2%,
7、18.2%,and12.1%respectively,andtherewasnostatisticaldifferenceamong3groups(P>0.05).ConclusionEffectofKirschnerwire,reconstructionplate,andlockingplatetreatingclaviclefracturearealmostthesame.Thesurgicalmodeshouldbebased
