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目的:观察和探讨儿童肱骨髁上骨折的有效治疗方法。方法:选取我院2015年1月-2016年1月收治的90例儿童肱骨髁上骨折患儿进行研究,按照随机分配的原则,将所有入选患儿均分为A、B、C三组,每组各有30例,A组患儿采取后侧入路的手术方式进行治疗,B组患儿采取外侧入路的手术方式进行治疗,C组患儿采取内外侧联合入路的手术方式进行治疗,治疗结束后对比三组患儿的手术时长和临床疗效。结果:C组患儿的手术时间明显少于A组和B组,差异具有统计学意义(P<0.05);B组和C组的治疗优良率明显高于A组,差异具有统计学意义(P<0.05)。结论:儿童肱骨髁上骨折选用外侧入路或内外侧联合入路的手术方式,临床效果均令人满意,内外侧联合入路的手术方式手术时间短,临床疗效最佳,值得在临床中推广使用。
Objective: To observe and explore the effective treatment of supracondylar humerus fractures in children. Methods: Ninety children with supracondylar humerus fractures admitted from January 2015 to January 2016 in our hospital were selected and randomly divided into three groups (A, B and C) according to the principle of random allocation. Each group had 30 cases. The children in group A were treated by posterior approach. The children in group B were treated by lateral approach. The children in group C were treated by the combined approach of lateral and lateral approach After treatment, the operation duration and clinical effect of three groups were compared. Results: The operation time of children in group C was significantly less than that in group A and group B (P <0.05). The excellent and good rates of treatment in group B and C were significantly higher than those in group A P <0.05). Conclusion: Surgical resection of supracondylar fractures of humerus using lateral or medial and lateral combined approach is satisfactory. The clinical results are satisfactory. The operation time of the combined approach of the medial and lateral approaches is short, and the clinical effect is the best, which is worth to be popularized clinically use.