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青松山人铁杆木虫 (正式写手)
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[求助]
一篇医学论文的英文摘要
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Clinical study on anterior reconstruction plate internal fixation for middle clavicular fracture 【摘要】 目的：探讨锁骨中段骨折重建钢板前置内固定的效果及可操作性，为临床提供依据。方法：回顾2010年7月至2012年2月锁骨中段骨折使用重建钢板前置内固定患者23例作为研究组，男19例，女4例，年龄37-78岁，平均（48.5±7.2）岁。2010年9月至2012年4月重建钢板上置内固定治疗锁骨中段骨折患者19例作为对照组，男14例，女5例，年龄39～57岁，平均（46.3±5.3）岁。记录两组患者术中锁骨内段、外段螺钉数目、长度，以及手术暴露时间、出血量，进行统计学分析。研究组患者定期拍X片，并记录12周时骨折位置、疼痛情况及16周时肩关节运动功能恢复情况，并采用侯春林等的疗效评价标准进行评价。结果：前置重建钢板组23例患者术后切口均一期愈合，无感染。12周时骨折均愈合。16周随访结果，优22例，良1例。两组骨折外侧段螺钉长度比较，u=63.21>1.64,p<0.05,内侧段螺钉长度比较，u=5.46>1.64,p<0.05，前置重建钢板组内、外段螺钉长度显著大于相应的上置重建钢板组内、外段螺钉长度。V=40时,两组术中出血量比较，t=0.489<1.684,p>0.05,两组手术暴露时间比较，t=0.912<1.684,p>0.05，两组在术中出血量、手术暴露时间差别无显著性意义。结论：锁骨中段骨折重建钢板前置内固定比上置更稳定，疗效可靠，尤其对于中老年可疑骨质疏松者。 |
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青松山人
铁杆木虫 (正式写手)
- 应助: 2 (幼儿园)
- 金币: 7325.3
- 散金: 10
- 帖子: 487
- 在线: 262小时
- 虫号: 52803
- 注册: 2004-09-11
- 性别: GG
- 专业: 高分子材料与环境
6楼2012-08-07 17:09:35
青松山人
铁杆木虫 (正式写手)
- 应助: 2 (幼儿园)
- 金币: 7325.3
- 散金: 10
- 帖子: 487
- 在线: 262小时
- 虫号: 52803
- 注册: 2004-09-11
- 性别: GG
- 专业: 高分子材料与环境
2楼2012-07-30 23:40:47
青松山人
铁杆木虫 (正式写手)
- 应助: 2 (幼儿园)
- 金币: 7325.3
- 散金: 10
- 帖子: 487
- 在线: 262小时
- 虫号: 52803
- 注册: 2004-09-11
- 性别: GG
- 专业: 高分子材料与环境
3楼2012-08-01 13:26:28
青松山人
铁杆木虫 (正式写手)
- 应助: 2 (幼儿园)
- 金币: 7325.3
- 散金: 10
- 帖子: 487
- 在线: 262小时
- 虫号: 52803
- 注册: 2004-09-11
- 性别: GG
- 专业: 高分子材料与环境
青松山人: 回帖置顶 2012-08-02 22:49:24
sltmac: 金币+1 2012-08-08 09:38:00
sltmac: 金币-1 2012-08-08 09:38:31
sltmac: 金币+1 2012-08-08 09:38:00
sltmac: 金币-1 2012-08-08 09:38:31
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自己动手操作了一下，请教大虾指点修正。多谢。 ABSTRACT Objective: To investigate the maneuverability and effect of treatment with anterior reconstruction plate internal fixation for middle clavicular fracture and to supply the base for clinical use. Methods: From July 2010 to December 2012 ,23 patients were treated with anterior reconstruction plate internal fixation for middle clavicular fracture (treatment group),including 19 males and 4 females with a mean age of（48.5±7.2）years (ranged, 37 to 78 years). From September 2010 to April 2012 ,19 patients were treated with upper reconstruction plate internal fixation for middle clavicular fracture (control group),including 14 males and 5 females with a mean age of（46.3±5.3）years (ranged, 39 to 57 years). The Index sunch as the screw number and length through the acromion and sternum segment ,blood loss and operative exposure time during operation were observed for the two groups, and for the treatment group, pains, fracture site and shoulder function were observed at 12th weeks after operation and evaluated at 16th weeks. Results: The treatment group had a good HOU Chun-lin’s clavical score （22 excellent patients and 1 good）at 16th weeks, and incision healing in time, no infection, fracture union at 12th weeks.The acromion segment screw length of the treatment group was significantly larger than that of the control group(p<0.05),and the Sternum segment screw length of the treatment group was significantly larger than that of the control group(p<0.05),;while there was no significantly difference Between the blood loss and operative exposure time(p>0.05).Conclusion: The anterior reconstruction plate internal fixation for middle clavicular fracture has better stability and more reliable effect than the upper reconstruction plate internal fixation, especially for the middle and old age who has the suspected risk factors of osteoporosis. KEYWORDS Clavicular fracture; Reconstruction plate; Anterior; Treatment |
4楼2012-08-02 16:38:49
