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目的：探讨儿童下肢皮肤撕脱伴骨折的早期治疗方法对预后的影响。方法：对１６３例交通事故致伤的临床资料进行回顾性分析。本组年龄２～１４岁。受伤部位：左侧５８例，右侧６８例，双侧３７例。皮肤撕脱面积：１２０～６２４ｃｍ２。骨折部位：股骨４１例，胫腓骨１２２例。治疗主要采取撕脱皮肤修整呈网状原位缝合，骨折以骨牵引或克氏针内固定处理。结果：随访１４１例，随访２～１２年。疗效根据关节功能恢复、行走有无疼痛和跛行以及Ｘ线检查骨修复情况进行评价，优５８例，良４１例，可３４例，差８例。结论：此方法对早期治疗儿童下肢皮肤撕脱伴骨折是适宜的。
Objective: To investigate the effect of early treatment of skin avulsion and fractures on prognosis in children. Methods: The clinical data of 163 cases of traffic accidents were retrospectively analyzed. The group aged 2 to 14 years old. Injured parts: left 58 cases, right 68 cases, bilateral 37 cases. Skin avulsion area: 120 ~ 624cm2. Fracture site: 41 cases of femur, 122 cases of tibia and fibula. The main treatment taken avulsion repair skin reticular suture, fracture traction or Kirschner wire fixation. Results: Follow-up 141 cases, followed up for 2 to 12 years. Efficacy based on joint function recovery, walking with or without pain and limp X-ray examination of bone repair were evaluated, excellent in 58 cases, good in 41 cases, 34 cases can be poor, 8 cases. Conclusion: This method is suitable for the early treatment of children with lower extremity skin avulsion fracture.