论文部分内容阅读
目的:总结并比较儿童移位型肱骨髁上骨折几种治疗手段的临床疗效。方法:80例肱骨髁上骨折儿童,随机分为ABC3组,A组27例,进行闭合复位石膏托外固定;B组27例,行切开复位内固定术;C组26例,进行C臂下闭合复位经皮交叉克氏针固定。所有患者出院后均进行随访,比较3组患者的治疗效果。结果:本组患者随访6个月～6年,骨折均达到完全愈合的标准。A组优14例,良12例,可1例;B组优24例,良2例,可1例;C组优24例,良2例。3组患者在骨折愈合率上无明显差异。但随访发现A组肘内翻、骨筋膜室综合征发生率高于其他2组(p<0.05),C组平均住院时间低于A、B组(p<0.05),B、C2组医源性损伤发生率高于A组,但无统计学差异。结论:C臂下闭合复位经皮交叉克氏针固定是儿童肱骨髁上骨折的一种理想治疗方法,具有创伤小、住院时间短及并发症少等优点,值得在临床中进行推广。
Objective: To summarize and compare the clinical curative effect of several treatment methods for displaced supracondylar humerus fractures in children. Methods: Eighty children with supracondylar fracture of humerus were randomly divided into ABC3 group, 27 cases in group A, with closed reduction and plaster external fixation. In group B, 27 cases underwent open reduction and internal fixation. In group C, 26 cases were performed C arm Under closed reduction percutaneous cross Kirschner wire fixation. All patients were followed up after discharge, the treatment effect of the three groups were compared. Results: The patients were followed up for 6 months to 6 years, the fractures reached the standard of complete healing. A group of excellent in 14 cases, good in 12 cases, 1 case; excellent in group B 24 cases, good in 2 cases, 1 case; C group of excellent in 24 cases, good in 2 cases. Three groups of patients in the fracture healing rate no significant difference. However, the incidence of cubitus varus and compartment syndrome was significantly higher in group A than in the other two groups (p <0.05). The average length of stay in group C was lower than that in group A and B (p <0.05) The incidence of source injury was higher than that in group A, but there was no significant difference. Conclusion: C-arm closed reduction and percutaneous Kirschner wire fixation is an ideal treatment for supracondylar humerus fractures in children. It has the advantages of less trauma, shorter hospital stay and fewer complications. It is worth to be popularized clinically.