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目的:分析两种不同方法治疗小儿肱骨髁上伸直型骨折的临床疗效。方法:选取60例肱骨髁上伸直型骨折的患儿,将其随机分为观察组和对照组,每组30例,观察组采用透视下闭合复位和交叉克氏针内固定治疗,对照组采用手法复位石膏托外固定治疗,观察比较两组的临床疗效。结果:观察组的治疗优良率为90%,明显高于对照组的73.3%(P<0.05),且石膏固定时间明显少于对照组(P<0.05)。结论:在治疗小儿肱骨髁上伸直型骨折时,使用透视下闭合复位和克氏针固定治疗具有显著的疗效,且对患者的创伤较小。
Objective: To analyze the clinical effects of two different methods in the treatment of supracondylar humerus fractures in children. Methods: Sixty children with supracondylar humerus fractures were selected and randomly divided into observation group and control group, with 30 cases in each group. The observation group underwent closed reduction with fluoroscopy and crossed Kirschner wire fixation. The control group The use of manual reduction plaster external fixation treatment, observed and compared the clinical efficacy of the two groups. Results: The excellent and good rate of the observation group was 90%, which was significantly higher than that of the control group (73.3%, P <0.05), and the gypsum fixation time was obviously less than that of the control group (P <0.05). Conclusion: The treatment of children with supracondylar humerus straight fractures, the use of closed reduction under fluoroscopy and Kirschner wire fixation has a significant effect, and less trauma to patients.