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目的分析比较两种外侧入路结合张力带钢丝内固定治疗儿童肱骨髁上骨折的疗效。方法对儿童肱骨髁上骨折36例采用传统外侧入路(传统组),30例采用改良外侧入路(改良组),均采用张力带钢丝固定。结果本组获随访6~18个月,改良组在手术时间、住院时间、并发症发生率方面均优于传统组,差异有统计学意义(P<0.05)。改良组和传统组Flynn肘关节功能评定满意率分别为90.0%、83.3%,差异有统计学意义(P=0.021)。结论改良外侧入路相比传统入路具有显露充分、穿针固定容易、创伤小、恢复快等优点。
Objective To compare and evaluate the efficacy of two lateral approaches combined with tension band wire fixation in the treatment of supracondylar humerus fractures in children. Methods Thirty-six patients with supracondylar humerus fractures were treated with conventional lateral approach (conventional group) and 30 patients with modified lateral approach (modified approach). All of them were fixed by tension band wire. Results The patients were followed up for 6 to 18 months. The improvement group was superior to the traditional group in terms of operation time, hospitalization time and complication rate, the difference was statistically significant (P <0.05). The satisfactory rates of functional evaluation of the Flynn elbow in the modified group and the traditional group were 90.0% and 83.3%, respectively, with significant difference (P = 0.021). Conclusion Compared with the traditional approaches, the modified lateral approach has the advantages of adequate exposure, easy fixation of the needles, less trauma and faster recovery.