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[1]明立功,明立德,明新武,等.小切口克氏針內固定和小切口鋼板內固定治療青年鎖骨中段 A型骨折的對比研究[J].中醫(yī)正骨,2014,26(04):29-32.
　Ming Ligong*,Ming Lide,Ming Xinwu,et al.Comparison of Kirschner wire internal fixation and minimally invasive percutaneous plate osteosynthesis for the treatment of typed-A midclavicular fractures in youth patients[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2014,26(04):29-32.
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小切口克氏針內固定和小切口鋼板內固定治療青年鎖骨中段 A型骨折的對比研究()
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《中醫(yī)正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第26卷
期數:
2014年04期
頁碼:
29-32
欄目:
臨床研究
出版日期:
2014-04-30

文章信息/Info

Title:
Comparison of Kirschner wire internal fixation and minimally invasive percutaneous plate osteosynthesis for the treatment of typed-A midclavicular fractures in youth patients
作者:
明立功; 明立德; 明新武; 明朝戈; 王自方; 馬彥飛; 王明利; 范會強; 王慧
河南省滑縣骨科醫(yī)院,河南 滑縣 456485
Author(s):
Ming Ligong*; Ming Lide; Ming Xinwu; Ming Chaoge; Wang Zifang; Ma Yanfei; Wang Mingli; Fan Huiqiang; Wang Hui.*
Orthopaedic Hospital of Hua county,Hua county 456485,Henan,China
關鍵詞:
鎖骨 骨折; 閉合性 骨折固定術; 內 外科手術; 微創(chuàng)性 骨釘 骨板 治療; 臨床研究性
Keywords:
Clavicle;  Fractures;  closed;  Fracture fixation; internal;  Surgical procedures; minimally invasive;  Bone nails;  Bone plates;  Therapies; investigational
摘要:
目的:比較小切口克氏針內固定和小切口鋼板內固定治療青年鎖骨中段A型骨折的臨床療效、安全性及衛(wèi)生經濟學指標。方法:回顧性分析接受手術治療的52例青年鎖骨中段A型骨折患者的病例資料,采用小切口克氏針內固定治療者32例(A組),采用小切口鋼板內固定治療者20例(B組)。比較2組患者的術中出血量、手術時間、骨折愈合時間、住院時間、住院費用、內固定取出費用、采用肩關節(jié)Neer評分評定的肩關節(jié)功能及并發(fā)癥發(fā)生率。結果:①一般情況。52例患者均獲隨訪,隨訪時間9～16個月,中位數11.5個月。2組患者的骨折愈合時間比較,差異無統(tǒng)計學意義[(10.70±2.20)周,(11.30±1.70)周t=0.942,P=0.351]; A組患者術中出血量、手術時間、住院時間、住院費用及內固定取出費用均少于B組,差異有統(tǒng)計學意義[(20.32±17.51)mL,(40.73±15.11)mL,t=-5.860,P=0.000;(20.55±10.16)min,(50.12±17.26)min,t=-12.505,P=0.000;(6.63±1.27)d,(8.34±1.11)d,t=-4.182,P=0.000;(3 500.75±500.63)元,(7 500.74±300.85)元,t=-13.317,P=0.000;(1 100.23±350.93)元,(3 500.25±200.32)元,t=-16.708,P=0.000]。②肩關節(jié)功能。A組優(yōu)18例、良12例、中2例,B組優(yōu)10例、良9例、中1例。2組患者肩關節(jié)功能比較,差異無統(tǒng)計學意義(Z=-0.362,P=0.717)。③并發(fā)癥發(fā)生率。A組術后2例患者出現(xiàn)針尾刺激癥狀,B組1例患者發(fā)生鋼板遠端螺釘拔出。2組患者并發(fā)癥發(fā)生率比較,差異無統(tǒng)計學意義(χ2=0.000,P=1.000)。結論:小切口克氏針內固定和小切口鋼板內固定都是治療青年鎖骨中段A型骨折的安全有效的治療方法,但前者具有創(chuàng)傷小、費用低的優(yōu)點。
Abstract:
Objective:To compare the clinical curative effects,safety and health economics indexes of Kirschner wire(K-wire)internal fixation vs minimally invasive percutaneous plate osteosynthesis(MIPPO)in the treatment of typed-A midclavicular fractures in youth patients.Methods:The medical records of 52 youth patients underwent operative treatment for typed-A midclavicular fractures were analyzed retrospectively.Thirty-two patients(group A)were treated with K-wire internal fixation,while the others(group B)were treated with MIPPO.Then the two groups were compared with each other in such parameters as blood loss,operative time,fracture healing time,hospitalization time,hospitalization costs,internal fixation removement costs,shoulder joint function evaluated by using shoulder-joint Neer scores and the incidences of complications.Results:The patients in the 2 groups were all followed up for 9-16 months with a median of 11.5 months.There was no statistical differences in the fracture healing time between the 2 groups(10.70+/-2.20 vs 11.30+/-1.70 weeks,t=0.942,P=0.351).The blood loss,operative time,hospitalization time,hospitalization costs and internal fixation removement costs of group A were all less than those of group B(20.32+/-17.51 vs 40.73+/-15.11 mL,t=-5.860,P=0.000; 20.55+/-10.16 vs 50.12+/-17.26 min,t=-12.505,P=0.000; 6.63+/-1.27 vs 8.34+/-1.11 days,t=-4.182,P=0.000; 3 500.75+/-500.63 vs 7 500.74+/-300.85Yuan,t=-13.317,P=0.000; 1 100.23+/-350.93 vs 3 500.25+/-200.32 Yuan,t=-16.708,P=0.000).Eighteen patients obtained an excellent result,12 good and 2 fair in group A,while 10 patients obtained an excellent result,9 good and 1 fair in group B.There was no statistical differences in the shoulder joint function between the 2 groups(Z=-0.362,P=0.717).The skin irritation caused by K-wire were found in two patients(group A)after the surgery,while steel plate distal screw exposed was found in one patient(group B)after the surgery.There was no statistical differences in the incidences of complications between the 2 groups(χ2=0.000,P=1.000).Conclusion:The therapy of K-wire internal fixation is similar to the therapy of MIPPO in curative effect and safety in the treatment of typed-A midclavicular fractures in youth patients,while the former has the merits such as less trauma and lower cost.

參考文獻/References:

[1] 鄭亦靜,洪建軍,程濤,等.微創(chuàng)經皮鎖定鋼板與切開復位重建鋼板內固定在治療鎖骨骨折中的療效比較[J].中華手外科雜志,2013,29(4):225-227.
[2] Smekal V1,Irenberger A,Struve P,et al.Elastic stable intramedullary nailing versus nonoperative treatment of displaced midshaft clavicular fractures-a randomized,controlled,clinical trial[J].J Orthop Trauma,2009,23(2):106-112.
[3] 國家中醫(yī)藥管理局.中醫(yī)病證診斷療效標準[S].南京:南京大學出版社,1994:162.
[4] 陳云豐,張睿,張弛,等.鈦制彈性釘與重建鋼板在治療移位鎖骨中段骨折中的臨床療效比較[J].中華創(chuàng)傷骨科雜志,2010,12(11):1006-1009.
[5] 明立功,明立山,明新月,等.鎖骨中段骨折髓內針治療的臨床分析[J].中國骨與關節(jié)損傷雜志,2007,22(12):1009-1010.
[6] Neer CS 2nd.Displaced proximal humeral fractures:part I.Classification and evaluation.1970[J].Clin Orthop Relat Res,2006,442:77-82.
[7] 王秀會,王喆,夏勝利,等.鎖定鋼板經皮治療鎖骨中段骨折的療效評價[J].中華手外科雜志,2012,28(6):380-381.
[8] 高堪達,黃建華,高偉,等.鎖定與非鎖定重建鋼板治療鎖骨干移位骨折的療效比較[J].中華創(chuàng)傷骨科雜志,2010,12(11):1001-1005.
[9] 彭亮,項東,呂建華,等.微創(chuàng)彈性釘內固定治療鎖骨中段骨折[J].中醫(yī)正骨,2011,23(1):59-61.
[10] 黎鍵,湯志剛.不同部位的鎖骨骨折手術治療體會[J].中醫(yī)正骨,2010,22(5):366-367.
[11] 連學全,黃世民,莊耀明,等.克氏針固定鎖骨的生物力學試驗和臨床療效[J].中華骨科雜志,1994,149(3):163-166.

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更新日期/Last Update: 1900-01-01