锁骨骨折行经皮微创锁定钢板内固定术治疗的方法及效果探析

锁骨骨折行经皮微创锁定钢板内固定术治疗的方法及

效果探析

【摘要】目的：探讨锁骨骨折行经皮微创锁定钢板内固定术治疗的方法及临床疗效。方法：选取本院2017年1月-2019年10月收治的锁骨骨折患者70例，随机分为两组，对照组行骨折切开复位锁定钢板术治疗，研究组行经皮微创锁定钢板内固定术治疗，对比两组患者术中出血量、手术时间、骨折愈合时间、术后3个月肩关节Constant评分、并发症发生率。结果：研究组术中出血量少于对照组，差异有统计学意义（P<0.05）;研究组患者的手术时间与骨折愈合时间均显著短于对照组，差异有统计学意义（P<0.05）;研究组术后3个月肩关节Constant评分高于对照组，差异有统计学意义（P<0.05）;并发症发生率研究组低于对照组，差異有统计学意义（P<0.05）。结论：经皮微创锁定钢板内固定术式是锁骨骨折治疗中的常见术式，该术式具有手术效率高、出血少、术后恢复好等优点，值得推广应用。

【关键词】锁骨骨折经皮微创锁定钢板内固定术临床疗效

[Abstract] Objective：To investigate the method and clinical effect of transdermal minimally invasive locking plate fixation for clavicle fracture. Method：Seventy patients with clavicle fractures who were treated in our

hospital from January 2017 to October 2019 were randomly divided into two groups. The control group underwent fracture incision and reduction and locking plate surgery. The study group underwent percutaneous minimally invasive locking plate fixation. The intraoperative blood loss，operation time，fracture healing time，shoulder score，and complication rate at 3 months after surgery were compared. Result：The amount of intraoperative blood loss in the study group was less than that in the control group，and the data comparison was statistically significant （P<0.05）.The operation time and fracture healing time of the patients in the study group were significantly shorter than those in the control group，and the contrast between the groups were significantly different （P<0.05）. The constant score of the shoulder joint in the study group at 3 months after operation was higher than that in the control group，and the data comparison was statistically significant （P<0.05）. In the comparison of the incidence of complications，the study group was lower than the control group，the difference was statistically significant （P<0.05）. Conclusion：Percutaneous minimally invasive locking plate internal fixation is a common technique in the treatment of clavicle fractures. This technique has the advantages of high surgical efficiency，less bleeding，and good postoperative recovery. It is worth popularizing and applying.

[Key words]Clavicle fracture Percutaneous minimally invasive locking

plate internal fixation Clinical effect

锁骨骨折多发生于儿童、青壮年，诱因多为直接或间接暴力。锁骨骨折不仅形成明显的疼痛感受，还可能引发锁骨下神经、血管的损伤，对患者造成较大的危害性影响[1]。所以临床治疗锁骨骨折的手段中，多以骨折复位为主，采用手术治疗的方式，以内固定术固定锁骨，促进锁骨骨折复位[2-3]。经皮微创锁定钢板内固定术是临床治疗锁骨骨折的一种有效措施，为进一步分析临床疗效，以本院70例锁骨骨折患者为研究对象展开具体分析，详细报道如下。 1 资料与方法

1.1 一般资料

纳入研究对象为本院2017年1月-2019年10月收治的70例锁骨骨折患者。纳入及排除标准：（1）全部患者经过X线片确诊为锁骨骨折;（2）全部患者未合并其他严重疾病，如心功能障碍;（3）全部患者意识清醒，无精神疾病，具有沟通交流能力，接受随访，按时复查、复诊。将患者随机分为两组，每组35例。对照组男18例，女17例，年龄22～46岁，平均（32.4±3.5）岁，骨折至手术平均时间（2.5±1.0）d;致伤原因：车祸13例，运动冲撞11例，摔伤11例;骨折类型：横行骨折18例，斜形骨折17例。研究组男21例，女14例，年龄23～48岁，平均（32.6±3.4）岁，骨折至手术平均时间（2.6±0.9）d;致伤原因：车祸11例，运动冲撞12例，摔伤12例;骨折类型：横行骨折15例，斜形骨折20例。两组患者一般资料比较，差异无统计学意义（P>0.05）。患者自愿接受临床研究，签署知情同意书，本次研究经医院伦理委员会批准通过。

1.2 方法

对照组行骨折切开复位锁定钢板术治疗。术前以C臂机确定骨折部位，定