摘要
目的:研究分析外侧小切口辅助复位经皮克氏针内固定治疗儿童肱骨髁上骨折的可行性以及其临床效果。方法:选择2013年12月-2016年6月于本院骨科收治入院的肱骨髁上骨折患儿131例,按ID数分为对照组(n=80)与观察组(n=51)。对照组采用传统闭合复位经皮克氏针内固定治疗,观察组采用外侧小切口辅助复位经皮克氏针内固定治疗。比较分析两组的临床治疗效果以及并发症发生情况。结果:所有患儿均顺利实施手术。观察组优良率为96.08%,显著优于对照组的77.50%,差异有统计学意义(P<0.05)。观察组的尺神经损伤发生率为1.96%,低于对照组的13.75%,差异有统计学意义(P<0.05);观察组的肘内翻、骨化性肌炎发生率与对照组比较,差异均无统计学意义(P>0.05)。结论:外侧小切口辅助复位经皮克氏针内固定治疗儿童肱骨髁上骨折有效可行,相比传统闭合复位经皮克氏针内固定术后并发症少,临床疗效好,可在临床治疗中推广应用。
Objective： To analyze the feasibility and clinical effect of percutaneous Kirschner internal fixation combined with lateral small incisions in the treatment of humeral supracondylar fracture in children. Method： From December 2013 to June 2016, 131 humeral supracondylar fracture children who treated in our hospital were selected and divided into the control group （ n=80 ） and the observation group （ n=51 ） according to the ID number.The control group was treated with traditional percutaneous Kirschner internal fixation combined with closed reduction, the observation group was treated with percutaneous Kirschner internal fixation combined with lateral small incisions.The therapeutic effect and postoperative complications of the two groups were compared. Result： All the children underwent the operation successfully.The excellent and good rate of the observation group was 96.08%, significantly better than 77.50% of control group （ P〈0.05 ） ; the incidence of ulnar nerve injury of the observation group was 1.96%, significantly lower than 13.75% of the control group, the difference was statistically significant （ P〈0.05 ）, the incidence of cubitus valgus and myositis ossificans of the observation group compared with the control group, the differences were no statistically significant （ P〉0.05 ） .Conclusion： Small lateral incision assisted reduction and percutaneous Kirschner wire fixation for supracondylar fracture of humerus in children is effective, compared with the traditional closed reduction with Kirschner wire fixation postoperative complications, the clinical curative effect is good, can be widely applied in clinical treatment.
出处
《中国医学创新》
CAS
2017年第15期31-34,共4页
Medical Innovation of China
关键词
肱骨髁上骨折
克氏针内固定
闭合复位
小切口
Humeral supracondylar fracture
Internal fixation with kirschner wires
Closed reduction
Small incision
