中国基层医药
中國基層醫藥
중국기층의약
CHINESE JOURNAL OF PRIMARY MEDICINE AND PHARMACY
2010年
6期
723-724
,共2页
手法闭合复位%骨折内固定术%外固定术%肱骨髁上骨折
手法閉閤複位%骨摺內固定術%外固定術%肱骨髁上骨摺
수법폐합복위%골절내고정술%외고정술%굉골과상골절
Reduction interne and plaster immobilization%Internal fixation of fracture%Expopexy%Supracondylar fracture of humerus
目的 通过与手法闭合复位石膏固定比较,探讨肱三头肌两侧入路手术对于儿童Gartland Ⅲ型肱骨髁上骨折的治疗效果.方法 选102例4～13岁Gartland Ⅲ型肱骨髁上骨折患儿作为研究对象,按照随机分组的原则分为手术组和对照组,每组各51例,其中手术组进行肱三头肌两侧入路手术,对照组则通过手法闭合复位后石膏固定.两组患者均于治疗后4周进行功能锻炼,并且定期进行X线检查,所有患者术后随访10～20个月(平均16个月),随访时检查和记录提携角改变、肘关节屈伸功能情况.按照Flynn临床功能评定标准对所有患者进行分类后,再进行统计学分析.结果 随访后肘关节功能评价,手术组优35例,良13例,可3例,差0例,优良率为94.1%;对照组患者优16例,良16例,可15例,差4例,优良率为62.7%,且两组间差异有统计学意义(P<0.05).结论 与手法闭合复位石膏固定相比,肱三头肌两侧入路手术对于儿童Gartland Ⅲ型肱骨髁上骨折治疗效果临床满意,优良率高,是临床上较为有效的治疗方法.
目的 通過與手法閉閤複位石膏固定比較,探討肱三頭肌兩側入路手術對于兒童Gartland Ⅲ型肱骨髁上骨摺的治療效果.方法 選102例4～13歲Gartland Ⅲ型肱骨髁上骨摺患兒作為研究對象,按照隨機分組的原則分為手術組和對照組,每組各51例,其中手術組進行肱三頭肌兩側入路手術,對照組則通過手法閉閤複位後石膏固定.兩組患者均于治療後4週進行功能鍛煉,併且定期進行X線檢查,所有患者術後隨訪10～20箇月(平均16箇月),隨訪時檢查和記錄提攜角改變、肘關節屈伸功能情況.按照Flynn臨床功能評定標準對所有患者進行分類後,再進行統計學分析.結果 隨訪後肘關節功能評價,手術組優35例,良13例,可3例,差0例,優良率為94.1%;對照組患者優16例,良16例,可15例,差4例,優良率為62.7%,且兩組間差異有統計學意義(P<0.05).結論 與手法閉閤複位石膏固定相比,肱三頭肌兩側入路手術對于兒童Gartland Ⅲ型肱骨髁上骨摺治療效果臨床滿意,優良率高,是臨床上較為有效的治療方法.
목적 통과여수법폐합복위석고고정비교,탐토굉삼두기량측입로수술대우인동Gartland Ⅲ형굉골과상골절적치료효과.방법 선102례4～13세Gartland Ⅲ형굉골과상골절환인작위연구대상,안조수궤분조적원칙분위수술조화대조조,매조각51례,기중수술조진행굉삼두기량측입로수술,대조조칙통과수법폐합복위후석고고정.량조환자균우치료후4주진행공능단련,병차정기진행X선검사,소유환자술후수방10～20개월(평균16개월),수방시검사화기록제휴각개변、주관절굴신공능정황.안조Flynn림상공능평정표준대소유환자진행분류후,재진행통계학분석.결과 수방후주관절공능평개,수술조우35례,량13례,가3례,차0례,우량솔위94.1%;대조조환자우16례,량16례,가15례,차4례,우량솔위62.7%,차량조간차이유통계학의의(P<0.05).결론 여수법폐합복위석고고정상비,굉삼두기량측입로수술대우인동Gartland Ⅲ형굉골과상골절치료효과림상만의,우량솔고,시림상상교위유효적치료방법.
Objective To investigate clinical results of bilateral triceps bradhii approach in Gartland Ⅲ supracondylar fracture of humerus in children by comparing with reduction interne and plaster immobilization. Methods 102 children with Gartland Ⅲ supracondylar fracture of humerus,4 ～ 13 years old,from May 2003 to May 2009,were randomly divided into operation group and control group,51 cases separately. The operation group was treated by bilateral triceps bradhii approach, while control group was treated by reduction interne and plaster immobilization. All patients were made function exercise 4 weeks later,X-ray check periodically and followed up about 16 months with angle patronner and elbow joint function recorded. According to Flynn clinical function criteria,all patients were classified and analyzed. Results After follow-up and elbow joint function evaluation,48 cases ( 94. 1% ) show excellent and good results,3 cases(5.9% ) fair and poor in operation group,32 cases(62. 7% ) and 19 cases(37. 3% ) in control group. The differences between two groups was statistically singnificant ( P < 0. 05). Conclusion Comparing with reduction interne and plaster immobilization, bilateral triceps bradhii approach in Gartland Ⅲ supracondylar fracture of humerus in children has good clinical results and may be more effective therapy.
