摘要
目的探讨闭合复位治疗儿童肱骨髁上骨折的效果.方法在2018年1月-2019年1月选取我院接受临床治疗的48例肱骨踝上骨折患儿作为研究对象.以随机数字方式进行分组处理.常规组采用切开复位治疗方式,试验组采用闭合复位治疗方式.总结并对比两组患者的治疗效果以及安全性.结果两组患者治疗有效率比较,差异无统计学意义(P>0.05);两组患者的手术时间、术中出血量、切口长度以及住院时间比较,差异有统计学意义(P<0.05);两组患者均无任何不良反应发生,均未出现感染、肘内翻、肘外翻案例.结论闭合复位与切开复位克氏针内固定治疗儿童肱骨髁上骨折的效果与安全性基本相当,但是闭合复位手术方式在康复效率方面更加突出.
Objective To explore the effect of closed reduction in the treatment of supracondylar fracture of humerus in children. Methods 48 cases of supracondylar fracture of humerus from January 2018 to January 2019 were selected as the research objects. Group processing was done in a random number manner. Routine group was treated with open reduction, while experimental group was treated with closed reduction. The efficacy and safety of the two groups were summarized and compared. Results There was no significant difference between the two groups in terms of efficiency rate (P > 0.05). The operation time, intraoperative bleeding volume, incision length and hospitalization time of the experimental group were better than those of the conventional group, and the difference was significant (P < 0.05). There were no adverse reactions in the two groups such as infection, cubitus varus, cubitus valgus. Conclusion The closed reduction and open reduction with Kirschner wire of supracondylar fracture of humerus in children are basically even in terms of safety, but the closed reduction is more effective in rehabilitation.
作者
黎土明
赵崇智
LI Tuming;ZHAO Chongzhi(Department of Orthopaedics,Foshan Hospital of Traditional Chinese Medicine,Foshan Guangdong 528000,China)
出处
《中国卫生标准管理》
2019年第13期54-56,共3页
China Health Standard Management
关键词
闭合复位
切开复位
克氏针
内固定治疗
儿童
肱骨髁上骨折
临床效果
安全性
closed reduction
open reduction
Kirschner wire
internal fixation
children
supracondylar fracture of humerus
clinical effect
safety
