摘要
目的 探讨不同手术入路治疗儿童肱骨髁上骨折的疗效。方法将确诊肱骨髁上骨折的77例患儿随机分成三组，分别通过肱三头肌纵行劈开（A组）、舌状瓣（B组）、两侧（C组）入路行手术治疗，分析并比较各组手术结果。结果c组的闭合切口及手术时间明显少于A组和B组（P〈0．05和P〈0．01）。C组的肘关节功能优良率明显优于A组和B组（P〈0．05）。差异具有统计学意义。结论肱三头肌两侧入路手术治疗儿童肱骨髁上骨折的疗效显著。
Objective To evaluate the efficacy of three surgery approaches for the treatment of supracondylar fractures of humerus in children. Methods 77 children with supracondylar fractures of humerus were randomized into 3 groups after diagnosis. Children in Group A underwent posterior tricep splitting approach, Group B underwent lingulate flap of tricep brachii approach, and Group C underwent bilateral tricep brachii approach. The surgical results of all cases were analyzed and compared. Results The incision closure time and duration of surgery of Group C were shorter than those of Group A and B （P 〈 0.05 and P 〈 0.01 respectively）. The excellent and good rate of elbow function evaluation in Group C was higher than those in Group A and B （P 〈 0.05）. All the differences were statistically significant. Conclusion Bilateral tricep brachii approach is an effective approach for treatment of supracondylar fracture of humerus in children.
出处
《国际医药卫生导报》
2013年第8期1169-1172,共4页
International Medicine and Health Guidance News
关键词
儿童
肱骨髁上骨折
手术入路
Children
Supracondylar fractures of humerus
Operative approach
