中国社区医师
中國社區醫師
중국사구의사
Chinese Community Doctors
2015年
2期
11-12
,共2页
闭合性尺桡骨骨折%手法复位%手术治疗%远期疗效
閉閤性呎橈骨骨摺%手法複位%手術治療%遠期療效
폐합성척뇨골골절%수법복위%수술치료%원기료효
Closed fractures of ulna and radius%Manipulative reduction%Surgical treatment%Long term effect
目的：探讨儿童闭合性尺桡骨骨折手法复位及手术治疗后的远期疗效。方法：2013年9月-2014年5月收治儿童闭合性尺桡骨骨折患者90例，随机分成观察组和对照组，各45例，观察组采用手术治疗，对照组采用手法复位，比较两组治疗后的远期疗效。结果：经治疗，观察组临床疗效(92.38%)高于对照组(83.65%)，差异有统计学意义(P＜0.05)，但两组的Anderson评分优良率在治疗后6个月与1年无显著差异，无统计学意义(P＞0.05)。结论：手法复位与手术治疗对儿童闭合性尺桡骨骨折患者均有较好的远期疗效，但后者的临床愈合率高于前者，在临床上应根据具体情况进行选用。
目的：探討兒童閉閤性呎橈骨骨摺手法複位及手術治療後的遠期療效。方法：2013年9月-2014年5月收治兒童閉閤性呎橈骨骨摺患者90例，隨機分成觀察組和對照組，各45例，觀察組採用手術治療，對照組採用手法複位，比較兩組治療後的遠期療效。結果：經治療，觀察組臨床療效(92.38%)高于對照組(83.65%)，差異有統計學意義(P＜0.05)，但兩組的Anderson評分優良率在治療後6箇月與1年無顯著差異，無統計學意義(P＞0.05)。結論：手法複位與手術治療對兒童閉閤性呎橈骨骨摺患者均有較好的遠期療效，但後者的臨床愈閤率高于前者，在臨床上應根據具體情況進行選用。
목적：탐토인동폐합성척뇨골골절수법복위급수술치료후적원기료효。방법：2013년9월-2014년5월수치인동폐합성척뇨골골절환자90례，수궤분성관찰조화대조조，각45례，관찰조채용수술치료，대조조채용수법복위，비교량조치료후적원기료효。결과：경치료，관찰조림상료효(92.38%)고우대조조(83.65%)，차이유통계학의의(P＜0.05)，단량조적Anderson평분우량솔재치료후6개월여1년무현저차이，무통계학의의(P＞0.05)。결론：수법복위여수술치료대인동폐합성척뇨골골절환자균유교호적원기료효，단후자적림상유합솔고우전자，재림상상응근거구체정황진행선용。
Objective: To investigate the long term curative effect of manipulative reduction and after surgical treatment of ulna and radius fracture in children.Methods:90 children patients with ulna and radius fracture were selected from September 2013 to May 2014.They were randomly divided into the observation group and the control group with 45 cases in each.The observation group were treated with operation,and the control group were treated with manipulative reduction.We compared the long term curative effect of the two groups after treatment.Results:After the treatment,the clinical curative effect of the observation group(92.38% ) was higher than that of the control group(83.65% ), with statistical significance(P<0.05),but the good rate of Anderson score in 6 months and 1 years of the two groups after the treatment without significant difference,and there was no statistical significance(P>0.05).Conclusion:Manipulative reduction and operation in the treatment of children's ulna and radius fracture has better long-term curative effect,but the clinical healing rate of the latter is higher than that of the former.In clinic we should choose according to the specific situation.
