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目的:分析比较经肘关节外侧入路及经肘关节后侧入路治疗儿童肱骨髁上骨折的临床效果比较。方法:选取在我院收治的儿童肱骨髁上骨折56例,随机分为对照组和观察组,对照组选用经肘关节后侧将肱三头肌舌状瓣切开入路方法予以治疗,观察组则采用经肘关节外侧入路方式实施治疗。观察比较两组并发症、骨折愈合时间、平均住院时间、切口长度、手术时间及关节功能优良率。结果:两组患者均予以随访,时间均为(6~12)个月。观察组切口长度、切口愈合时间、平均手术时间、骨折愈合时间、平均住院时间及关节功能优良率与对照组比较,疗效明显优于对照组,差异有显著性(P<0.05)。而两组术后并发症发生率无明显差异(P>0.05)。结论:采用经肘关节外侧入路方式治疗儿童肱骨髁上骨折,相比于采用经肘关节后侧入路方法治疗,创伤小,并发症少,切口小而美观,手术操作及麻醉时间短,值得在临床推广应用。
OBJECTIVE: To compare and analyze the clinical effects of supracondylar fractures of the humerus over the lateral approach of the elbow and the posterior approach of the elbow. Methods: Fifty-six cases of supracondylar fracture of humerus were selected in our hospital and randomly divided into control group and observation group. The control group was treated by the trochanter’s tongue flaps approach through the posterior side of the elbow joint. Group is used by the lateral approach to the treatment of elbow. The complication, fracture healing time, average length of hospital stay, incision length, operation time and joint function were observed and compared. Results: Both groups were followed up for 6 to 12 months. Compared with the control group, the curative effect of the incision length, incision healing time, mean operative time, fracture healing time, average length of hospital stay and joint function in the observation group was significantly better than that in the control group (P <0.05). There was no significant difference in the incidence of postoperative complications between the two groups (P> 0.05). Conclusion: The supracondylar fractures of the humerus were treated by the lateral approach of the elbow. Compared with using the posterior approach of the elbow joint, the treatment of traumatic supracondylar fractures of the humerus has the advantages of less trauma, fewer complications, small and beautiful incision, short operative and anesthesia time, Worthy of clinical application.