98例锁骨骨折外科手术治疗临床观察.docVIP

98例锁骨骨折外科手术治疗临床观察【摘要】目的 探讨锁骨骨折的外科手术治疗方法，提高临床治疗水平。方法 回顾性分析我院自2008年4月~2009年6月收治的98例锁骨骨折患者的临床资料，总结分析治疗方法。结果 本组98例患者手术均获成功，成功率为100%，手术时间为34~96min，平均61.2min，术后无并发症发生。对所有患者进行为期6个月的随访观察，X线检查显示所有患者均复位良好，均达到骨性愈合，无畸形及感染发生。91例患者骨折局部及关节周围无疼痛，不影响生活劳动，7例患者骨折周围遗留轻微疼痛，关节活动基本正常。结论 根据锁骨骨折具体类型选择手术方法，注重复位和固定的时机和准确性，对锁骨骨折患者的功能康复十分重要。 【关键词】锁骨骨折 外科 手术 中图分类号：R683.411文献标识码：A文章编号：1005-0515（2011）1-030-02 98 cases of surgical treatment of clavicle fracture clinical observation Sun Guoshun (Baoshan City, Yunnan Province, People’s Hospital of bone two sections, Baoshan 678000) 【Abstract】Objective To evaluate the surgical treatment of clavicle fracture methods to improve the level of clinical treatment. Methods A retrospective analysis of our hospital from April 2008 ~ June 2009 to 98 cases of clavicle fractures treated patients with clinical data analyzed treatment. Results 98 patients were successful, the success rate was 100% operation time was 34 ~ 96min, an average of 61.2min, no postoperative complications. All patients were followed up for 6 months observation, X-ray examination showed that all patients were good reduction, are up to bone union, no deformity and infection. 91 patients without fractures around the local and joint pain, does not affect the life of labor, remaining 7 patients mild pain around the fracture, joint activities were normal. Conclusion Based on the specific type of clavicle fracture surgical method chosen, focusing on reduction and fixation of the timing and accuracy of the clavicle fracture functional recovery of patients is very important. 【Key words】clavicle fracture surgery 锁骨是唯一连接上肢与躯干的支架。骨干较细，外观弯曲，中外1/3交界处是锁骨从棱柱变成扁平状骨处，遭受外力后容易发生骨折。锁骨骨折多发生于儿童及青壮年，约占全身骨折的5%~6%[1]，多因肩部外侧或手掌先着地跌倒，外力经肩锁关节传至锁骨而发生骨折，骨折后，内侧段可因胸锁乳突肌的牵拉向后上方移位，外侧段则由于上肢的重力和胸大肌牵拉而向前下方移位。对于移位较为明显的锁骨骨折或粉碎性骨折往往需要采用手术治疗进行固定，否则容易发生畸形愈合[2]。本文就我院近年来收治的98例经手术治疗的锁骨骨折患者的临床资料做出相关分析，报告如下： 1 资料与方法 1.1 一般资料 本组98例患者均为我院自2008年4月~2009年6月收治的锁骨骨折患者，且均符合手术治疗的临床指征。其中男68例，女30例；年龄11~58岁，平均36.7岁；左侧骨