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目的探讨儿童肱骨远端骨骺损伤(Salter-Harris Ⅱ型)的诊治。方法回顾性分析39例肱骨远端骨骺损伤患儿切开复位内固定16例,闭合复位内固定治疗23例的临床资料及随访结果。结果所有病例均得到随访,其中优22例(56.4%),良14例(35.9%),尚可2例(5.1%),差1例(2.6%)。闭合复位内固定组优良率95.7%,切开复位内固定组优良率87.5%,术后肘关节功能闭合复位优于切开复位(P<0.05),6例被误诊,33例正确诊断或近似诊断。结论闭合复位经皮肱骨外髁克氏针固定治疗儿童肱骨远端骨骺损伤创伤小,复位良好,骨折固定稳定,疗效较好。
Objective To investigate the diagnosis and treatment of the distal humerus epiphyseal injury (Salter-Harris Ⅱ type) in children. Methods A retrospective analysis of 39 cases of distal humerus epiphyseal injury in children with open reduction and internal fixation in 16 cases, closed reduction and internal fixation for the treatment of 23 cases of clinical data and follow-up results. Results All cases were followed up, of which 22 cases (56.4%) were excellent, 14 (35.9%) were good, 2 (5.1%) were fair and 1 (2.6%) worse. The excellent and good rate of closed reduction and internal fixation group was 95.7%, and the excellent and good rate of open reduction and internal fixation group was 87.5%. The postoperative closed reduction of elbow joint function was superior to open reduction (P <0.05), 6 cases were misdiagnosed, 33 correctly diagnosed or approximate diagnosis. Conclusions Closed reduction and percutaneous humeral external fixation with Kirschner wire fixation for pediatric epiphyseal humerus injury trauma, good reduction, stable fracture, the effect is good.