中华小儿外科杂志
中華小兒外科雜誌
중화소인외과잡지
CHINESE JOURNAL OF PEDIATRIC SURGERY
2013年
3期
199-201
,共3页
肘关节%骨折%放射摄影术%儿童
肘關節%骨摺%放射攝影術%兒童
주관절%골절%방사섭영술%인동
Elbow joint%Fractures,bone%Radiography%Child
目的 探讨20度倾斜位摄片法在甄别轻度移位儿童肱骨外髁骨折骨块移位程度中的作用.方法 连续收集轻度移位肱骨外髁骨折的患儿58例,每个病例均采用传统正位和20度倾斜位摄片.按Finnbogason分类法进行重新评估,并测量不同体位X线正位平片中骨块内侧和外侧的移位距离.结果 全部58例中,Finnbogason分类为B型病例较初诊减少12例,C型病例较初诊增加18例,20度倾斜位正位片中骨块内侧和外侧的移位距离分别为(3.8±2.1)mm和(6.4±2.6)mm,而标准平片骨块内侧和外侧的移位距离分别为(1.7±1.1)mm和(2.1±1.6)mm,两种摄片法获得的内、外侧距离的差异均有统计学意义(P＜0.05).12例患儿经重新评估后改用手术治疗.结论 加用20度倾斜位摄片,能更好和快速地显示儿童肱骨外髁骨折的骨块移位程度,为选择正确的治疗方案提供了有力的影像学依据.
目的 探討20度傾斜位攝片法在甄彆輕度移位兒童肱骨外髁骨摺骨塊移位程度中的作用.方法 連續收集輕度移位肱骨外髁骨摺的患兒58例,每箇病例均採用傳統正位和20度傾斜位攝片.按Finnbogason分類法進行重新評估,併測量不同體位X線正位平片中骨塊內側和外側的移位距離.結果 全部58例中,Finnbogason分類為B型病例較初診減少12例,C型病例較初診增加18例,20度傾斜位正位片中骨塊內側和外側的移位距離分彆為(3.8±2.1)mm和(6.4±2.6)mm,而標準平片骨塊內側和外側的移位距離分彆為(1.7±1.1)mm和(2.1±1.6)mm,兩種攝片法穫得的內、外側距離的差異均有統計學意義(P＜0.05).12例患兒經重新評估後改用手術治療.結論 加用20度傾斜位攝片,能更好和快速地顯示兒童肱骨外髁骨摺的骨塊移位程度,為選擇正確的治療方案提供瞭有力的影像學依據.
목적 탐토20도경사위섭편법재견별경도이위인동굉골외과골절골괴이위정도중적작용.방법 련속수집경도이위굉골외과골절적환인58례,매개병례균채용전통정위화20도경사위섭편.안Finnbogason분류법진행중신평고,병측량불동체위X선정위평편중골괴내측화외측적이위거리.결과 전부58례중,Finnbogason분류위B형병례교초진감소12례,C형병례교초진증가18례,20도경사위정위편중골괴내측화외측적이위거리분별위(3.8±2.1)mm화(6.4±2.6)mm,이표준평편골괴내측화외측적이위거리분별위(1.7±1.1)mm화(2.1±1.6)mm,량충섭편법획득적내、외측거리적차이균유통계학의의(P＜0.05).12례환인경중신평고후개용수술치료.결론 가용20도경사위섭편,능경호화쾌속지현시인동굉골외과골절적골괴이위정도,위선택정학적치료방안제공료유력적영상학의거.
Objective To investigate the efficacy of 20°-tilt anteroposterior (A-P) radiography in assessment of lateral condylar fractures of distal humerus.Methods A total of 58 children with mild displaced lateral condylar fractures of the distal humerus were recruited in this study.Each child underwent conventional A-P and 20-tilt radiography before surgery.Fracture type was assessed according to the Finnbogason classification system.Fragment dislocation was measured at lateral and medial margins of fracture on radiographs.Results Of the 58 fractures,the 20-tilt anteroposterior (A-P) radiography decreased 12 diagnosis of type B fracture and increased 18 diagnosis of type C fracture compared with the conventional radiography.The extent of dislocation at lateral and medial margins of fracture site on 20°-tilt A-P radiography [(3.8 ± 2.1)mm and (6.4 ± 2.6)mm] was significantly wider than that on conventional radiography [(1.7 ± 1.1)mm and (2.1 ± 1.6)rnm].There was significant difference between the 20°-tilt A-P radiography and conventional radiography in determining the extent of displace of fractures (P＜0.05).Conclusions The 20°-tilt anteroposterior (A-P) radiography is more precise in assessment of fragment dislocation than conventional radiograph.
