中华小儿外科杂志
中華小兒外科雜誌
중화소인외과잡지
CHINESE JOURNAL OF PEDIATRIC SURGERY
2011年
6期
438-443
,共6页
陈庆玉%彭磊%张伟%寇冬权%林忠勤%王伟%程少文%应晓洲%沈跃%程小杰%吕传柱
陳慶玉%彭磊%張偉%寇鼕權%林忠勤%王偉%程少文%應曉洲%瀋躍%程小傑%呂傳柱
진경옥%팽뢰%장위%구동권%림충근%왕위%정소문%응효주%침약%정소걸%려전주
锁骨%骨折%髓内针插钉术
鎖骨%骨摺%髓內針插釘術
쇄골%골절%수내침삽정술
Clavicle%Fractures%Intramedullary nailing
目的 应用闭合穿钉微创钛制弹性髓内针治疗儿童锁骨骨折,探讨此治疗方法的手术技巧、注意事项和并发症,评价治疗效果,以提高锁骨骨折治疗的安全性和稳定性.方法 钛制弹性髓内针闭合复位穿钉微创治疗锁骨骨折26例,随访时间平均10个月(6~15个月).结论 患儿均获得满意解剖复位,闭合复位25例,切开复位1例.无严重并发症发生,Constant和Murley肩关节评分平均99.4分,DASH(disability of the arm,shoulder,and hand)评分平均0.46分,优良率92.3%,患儿对功能和外观恢复满意,满意率100%.结论 钛制弹性髓内针治疗儿童锁骨骨折具有创伤小、固定可靠、功能恢复快、并发症少等优点,可作为钢板内固定和非手术治疗替代方法.
目的 應用閉閤穿釘微創鈦製彈性髓內針治療兒童鎖骨骨摺,探討此治療方法的手術技巧、註意事項和併髮癥,評價治療效果,以提高鎖骨骨摺治療的安全性和穩定性.方法 鈦製彈性髓內針閉閤複位穿釘微創治療鎖骨骨摺26例,隨訪時間平均10箇月(6~15箇月).結論 患兒均穫得滿意解剖複位,閉閤複位25例,切開複位1例.無嚴重併髮癥髮生,Constant和Murley肩關節評分平均99.4分,DASH(disability of the arm,shoulder,and hand)評分平均0.46分,優良率92.3%,患兒對功能和外觀恢複滿意,滿意率100%.結論 鈦製彈性髓內針治療兒童鎖骨骨摺具有創傷小、固定可靠、功能恢複快、併髮癥少等優點,可作為鋼闆內固定和非手術治療替代方法.
목적 응용폐합천정미창태제탄성수내침치료인동쇄골골절,탐토차치료방법적수술기교、주의사항화병발증,평개치료효과,이제고쇄골골절치료적안전성화은정성.방법 태제탄성수내침폐합복위천정미창치료쇄골골절26례,수방시간평균10개월(6~15개월).결론 환인균획득만의해부복위,폐합복위25례,절개복위1례.무엄중병발증발생,Constant화Murley견관절평분평균99.4분,DASH(disability of the arm,shoulder,and hand)평분평균0.46분,우량솔92.3%,환인대공능화외관회복만의,만의솔100%.결론 태제탄성수내침치료인동쇄골골절구유창상소、고정가고、공능회복쾌、병발증소등우점,가작위강판내고정화비수술치료체대방법.
Objective To investigate the application of titanium elastic intramedullary nail in treating children with clavicular fractures without incision.Methods Twenty-six children with clavicular fractures were operated on by titanium elastic intramedullary nail,all of them were followed up 6 to 15 months(average of 10 months).Results Twenty-five patients were treated by closed reduction,an accessory incision had to be made above the fracture in one patient.All patients were satisfied with anatomical reduction,good functional recovery and excellent cosmetic appearance,and no severe complications happened,the excellent and good rate was 92.3%.Constant and Murley Shoulder Score was 99.4,DASH score was 0.46.Conclusions Using titanium elastic intramedullary nail to treat children with clavicular fractures has the advantages of easy operation,less invasive,reliable fixation,less complications.The patients can benefit from rapid posttraumatic pain relief,early mobilization,function improvement of shoulder and good cosmetic appearance.It is an alternative option to non-operative treatment and plate osteosynthesis in clavicular fractures in children.
