保留锁骨上皮神经在锁骨骨折内固定术中的应用
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海南省三亚市人民医院

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国家卫生计生委医药卫生科技发展研究中心 W2015QJ103


Application of retaining clavicular epithelial nerve in internal fixation of clavicular fracture
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1.Sanya 2.People’s 3.Hospital 4.of 5.Hainan

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    摘要:

    目的:探究在保留锁骨上皮神经在锁骨骨折内固定术中的应用以及临床效果。 方法:选取2013年2月至2018年2月内在本院收治的120例锁骨骨折患者,根据随机数字表法分为实验组和对照组,其中对照组采用切断锁骨上皮神经的传统手术方式,实验组术中游离保留锁骨上皮神经,每组60例,术后随访观察对比两组肩部及胸外上部感觉的差异性及满意度。结果:两组相比较,实验组在随访时无麻木的人数要高于对照组,差异具有统计学意义(卡方值为7.310,P<0.050),两组在手术时间上无明显差异,麻木的严重程度、对生活的影像程度等随着时间的推移均有改善。结论:采用保留锁骨上皮神经在锁骨骨折内固定术中,能够减轻患者术后的麻木感,有利于患者的术后康复,值得临床推广。

    Abstract:

    Objective: To investigate the application and clinical effects of retaining the clavicular epithelial nerve in the treatment of clavicular fracture.METHODS: A total of 120.00 patients with clavicle fractures admitted to our hospital were enrolled in the hospital. The cranial epithelial nerves were freely preserved in the group, and 60.00 cases in each group. The postoperative follow-up observations showed differences and satisfaction between the shoulders and the upper chest. RESULTS: Compared with the control group, the number of numbness in the experimental group was higher than that in the control group. The difference was statistically significant (chi-square value was 7.310, P<0.050).. The severity of the image, the degree of imagery of life, etc. have improved over time.Conclusion: The use of preserved clavicular epithelial nerve in the internal fixation of clavicle fracture can reduce the postoperative numbness of the patient , which is worthy of clinical promotion.

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  • 收稿日期:2019-02-25
  • 最后修改日期:2019-02-25
  • 录用日期:2019-03-26
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