摘要
目的研究小儿不稳定肱骨髁上骨折治疗中切开复位经皮克氏针内固定的应用效果。方法以于2017年3月—2019年6月该院收治的62例小儿不稳定肱骨髁上骨折患者为研究对象,将之按随机分为两组,对照组与观察组,每组31例。对照组行闭合复位后采用经皮克氏针内固定,观察组行切开复位后采用经皮克氏针内固定,对比两组患儿的肘关节恢复状况、住院时间、骨折完全愈合时间、医疗费用等。结果观察组的Carrying角大于对照组,Tilting角、Baumann角均显著小于对照组,差异有统计学意义(P<0.05),即观察组三类角的改善状况与对照组相比更优;观察组的优良率为96.77%,显著高于对照组的77.42%,差异有统计学意义(χ^2=5.167,P=0.023),观察组住院时间为(6.13±0.97)d,显著长于对照组的(3.01±0.21)d,差异有统计学意义(t=17.503,P=0.000);随访3个月后,观察组骨折完全愈合时间为(23.68±3.49)d,显著短于对照组的(36.59±4.23)d(t=13.107,P=0.000),观察组医疗费用为(15081.36±1120.23)元,显著多于对照组的(10036.19±960.37)元,差异有统计学意义(t=19.037,P=0.000)。结论小儿不稳定肱骨髁上骨折治疗中切开复位经皮克氏针内固定的应用效果显著,值得临床推广。
Objective To study the effect of open reduction and percutaneous Kirschner wire internal fixation for the treatment of unstable supracondylar fracture of the humerus in children.Methods From March 2017 to June 2019,62 patients with unstable humeral supracondylar fractures in our hospital were enrolled in the study.They were randomly divided into two groups:control group and observation group,each group had 31 cases.The control group underwent closed reduction and percutaneous Kirschner wire internal fixation.The observation group underwent open reduction and percutaneous Kirschner wire internal fixation.The recovery of elbow joint,hospitalization time,complete fracture healing time,Medical expenses,etc.Results The observation angle of the observation group was larger than that of the control group.The Tilting angle and Baumann angle were significantly lower than that of the control group,the difference was statistically significant(P<0.05).The improvement of the three types of angles in the observation group was better than that of the control group.The excellent and good rate of the observation group was 96.77% was significantly higher than 77.42% of the control group,the difference was statistically significant(χ^2=5.167,P=0.023),and the hospitalization time of the observation group was(6.13±0.97)d,which was significantly longer than that of the control group(3.01±0.21)d,the difference was statistically significant(t=17.503,P=0.000);After 3 months of follow-up,the complete healing time of the fracture in the observation group was(23.68±3.49)d,which was significantly shorter than that of the control group(36.59±4.23)d,the difference was statistically significant(t=13.107,P=0.000).The medical expenses of the observation group were(15081.36±1120.23)yuan,significantly more than the control group(10036.19±960.37)yuan,the difference was statistically significant(t=19.037,P=0.000).Conclusion The application of open reduction and percutaneous Kirschner wire internal fixation for the treatment of unstable supraco
作者
陈西龙
CHEN Xi-long(Department of Trauma and Burning,Xuzhou Children's Hospital,Xuzhou,Jiangsu Province,221000 China)
出处
《系统医学》
2019年第23期98-100,共3页
Systems Medicine
关键词
小儿不稳定肱骨髁上骨折
克氏针内固定
闭合复位
切开复位
Pediatric unstable humerus supracondylar fracture
Kirschner wire internal fixation
Closed reduction
Open reduction
