中外医疗
中外醫療
중외의료
CHINA FOREIGN MEDICAL TREATMENT
2014年
9期
19-20
,共2页
儿童肱骨髁上骨折%治疗方法%手法复位%切开复位
兒童肱骨髁上骨摺%治療方法%手法複位%切開複位
인동굉골과상골절%치료방법%수법복위%절개복위
Supracondylar fracture of humerus in children%Treatment%Manual reduction%Open reduction
目的：对儿童肱骨髁上骨折的治疗方法进行研究，分析手法复位与切开复位两种治疗方法的优缺点并对比其临床疗效。方法选取于2012年1月-2013年4月由该院接收治疗肱骨髁上骨折的60例患者，根据其不同的治疗方法分为两组，观察组为手法复位，30例。对照组为切开复位，30例。对其治疗情况进行记录，并进行追踪调查。对受伤后肘关节功能的恢复情况、骨折愈合时间和是否出现畸形等情况进行记录分析，并阐述两种治疗方法的优缺点。结果利用手法复位的观察组的患儿其优良率达到了96.7%。而利用切开手术复位的对照组的患儿其优良率为96.6%。两组数据显示从伤后肘关节功能的恢复情况看，手法复位要优于手术复位。从畸形率和临床愈合时间来看，观察组出现畸形1例，占总人数的3.3%，对照组为2例，占总人数的6.6%，两组患儿经过比较，差异无统计学意义(P>0.05)。采用手法复位的观察组其临床愈合时间为4～6周，采用切开手术复位的对照组其临床愈合时间为6～8周。观察组要优于对照组。结论根据上述调查显示和结果分析，对于儿童肱骨髁上骨折的治疗，最佳的方法应为手法复位。手法复位有利于患儿伤后肘关节功能的恢复，临床愈合时间短。除非患儿出现了血管神经损伤或是手法复位失败，从而选择切开复位手术治疗。
目的：對兒童肱骨髁上骨摺的治療方法進行研究，分析手法複位與切開複位兩種治療方法的優缺點併對比其臨床療效。方法選取于2012年1月-2013年4月由該院接收治療肱骨髁上骨摺的60例患者，根據其不同的治療方法分為兩組，觀察組為手法複位，30例。對照組為切開複位，30例。對其治療情況進行記錄，併進行追蹤調查。對受傷後肘關節功能的恢複情況、骨摺愈閤時間和是否齣現畸形等情況進行記錄分析，併闡述兩種治療方法的優缺點。結果利用手法複位的觀察組的患兒其優良率達到瞭96.7%。而利用切開手術複位的對照組的患兒其優良率為96.6%。兩組數據顯示從傷後肘關節功能的恢複情況看，手法複位要優于手術複位。從畸形率和臨床愈閤時間來看，觀察組齣現畸形1例，佔總人數的3.3%，對照組為2例，佔總人數的6.6%，兩組患兒經過比較，差異無統計學意義(P>0.05)。採用手法複位的觀察組其臨床愈閤時間為4～6週，採用切開手術複位的對照組其臨床愈閤時間為6～8週。觀察組要優于對照組。結論根據上述調查顯示和結果分析，對于兒童肱骨髁上骨摺的治療，最佳的方法應為手法複位。手法複位有利于患兒傷後肘關節功能的恢複，臨床愈閤時間短。除非患兒齣現瞭血管神經損傷或是手法複位失敗，從而選擇切開複位手術治療。
목적：대인동굉골과상골절적치료방법진행연구，분석수법복위여절개복위량충치료방법적우결점병대비기림상료효。방법선취우2012년1월-2013년4월유해원접수치료굉골과상골절적60례환자，근거기불동적치료방법분위량조，관찰조위수법복위，30례。대조조위절개복위，30례。대기치료정황진행기록，병진행추종조사。대수상후주관절공능적회복정황、골절유합시간화시부출현기형등정황진행기록분석，병천술량충치료방법적우결점。결과이용수법복위적관찰조적환인기우량솔체도료96.7%。이이용절개수술복위적대조조적환인기우량솔위96.6%。량조수거현시종상후주관절공능적회복정황간，수법복위요우우수술복위。종기형솔화림상유합시간래간，관찰조출현기형1례，점총인수적3.3%，대조조위2례，점총인수적6.6%，량조환인경과비교，차이무통계학의의(P>0.05)。채용수법복위적관찰조기림상유합시간위4～6주，채용절개수술복위적대조조기림상유합시간위6～8주。관찰조요우우대조조。결론근거상술조사현시화결과분석，대우인동굉골과상골절적치료，최가적방법응위수법복위。수법복위유리우환인상후주관절공능적회복，림상유합시간단。제비환인출현료혈관신경손상혹시수법복위실패，종이선택절개복위수술치료。
Objective To study the treatment of supracondylar fracture of humerus in children, analyze the advantages and disadvantages of two kinds of treatment methods, manual reduction and open reduction, and compare the clinical curative effect of them. Methods 60 cases of patients with supracondylar fracture of humerus admitted in our hospital from January, 2012 to April, 2013 were divided into two groups, the observation group and the control group.30 cases in the observation group were treated with manual reduction, and 30 cases in the control group were treated with open reduction. The treatment of the patients was recorded, and the patients were followed up. The elbow joint function recovery after injury,fracture healing time and whether any deformity occurred were recorded and analyzed, and the advantages and disadvantages of two treatment methods were elaborated. Results The excellent and good rate of the children in the observation group treated by manual reduction was 96.7%, and that of the children in the control group treated by open reduction was 96.6%.In terms of the elbow joint function recovery after injury, manual reduction was better than open reduction. There was 1 case of deformity occurred in the observation group, accounting for 3.3%,2 cases in the control group, accounting for 6.6%, the difference was not statistically significant(P>0.05). The clinical healing time of the observation group was 4~6 weeks,which was shorter than that,6~8 weeks of the control group.Conclusion According to the results of the survey and analysis, for the treatment of supracondylar fracture of humerus in children, the best method is manual reduction, which is beneficial to the recovery of elbow joint function after injury, and the clinical healing time is short. Open reduction can be chosen unless the child has neurovascular injury or manual reduction is failed.
