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目的:观察探讨外侧小切口切开复位克氏针内固定术治疗儿童肱骨髁上骨折(GartlandⅢ型)临床效果。方法:选取2012年1月至2016年1月江门市新会区中医院收治86例儿童肱骨髁上骨折(GartlandⅢ型)患儿,根据不同的术式进行分组,观察组采用外侧小切口切开复位克氏针内固定术进行治疗,对照组采用后侧入路切开复位克氏针内固定术。比较两组切口长度、术中出血量、手术时间、住院时间、骨折愈合时间、治疗效果、不良反应发生情况。结果:与对照组比较,观察组平均切口长度明显更短,平均术中出血量明显更少,平均手术时间、平均住院时间、平均骨折愈合时间明显更短,组间比较,差异具有统计学意义(P<0.05)。与对照组(78.04%)对比,观察组治疗优良率(95.56%)明显更高,组间比较,差异具有统计学意义(P<0.05)。和对照组(17.07%)对比,观察组不良反应发生率(6.67%)明显更低,组间比较,差异具有统计学意义(P<0.05)。结论:和传统后侧入路切开复位克氏针内固定术对比,采用外侧小切口切开复位克氏针内固定术治疗儿童肱骨髁上骨折效果更为显著,有利于提高手术安全程度,促进骨折的愈合,减少术后并发症的发生。
Objective: To observe the clinical effect of lateral small incision open reduction and Kirschner wire fixation for supracondylar fracture of humerus (Gartland Ⅲ type). Methods: From January 2012 to January 2016, 86 children with supracondylar fractures of humerus (Gartland Ⅲ type) were enrolled in Xinhui District Hospital of Traditional Chinese Medicine, Jiangmen City, and were divided into groups according to different surgical procedures. The observation group was cut with lateral small incision Kirschner wire fixation was performed and the control group underwent open reduction and Kirschner wire internal fixation. The incision length, intraoperative blood loss, operation time, hospital stay, fracture healing time, treatment effect and adverse reactions were compared between the two groups. Results: Compared with the control group, the mean incision length of the observation group was significantly shorter, the average blood loss was significantly less, the average operation time, the average hospital stay, the average fracture healing time was significantly shorter, the difference between the two groups was statistically significant (P <0.05). Compared with the control group (78.04%), the excellent and good rate of the observation group (95.56%) was significantly higher than that of the control group (P <0.05). Compared with the control group (17.07%), the incidence of adverse reactions in the observation group (6.67%) was significantly lower than that in the control group (P <0.05). Conclusion: Compared with the traditional Kirschner wire fixation with open reduction and posterior approach, it is more effective to use the lateral small incision open reduction and Kirschner wire fixation in the treatment of supracondylar humerus fractures in children, which is beneficial to improve the safety of surgery, Promote the healing of fractures and reduce the incidence of postoperative complications.