中国社区医师
中國社區醫師
중국사구의사
Chinese Community Doctors
2015年
6期
52-52,54
,共2页
盖氏骨折样损伤%诊断%治疗
蓋氏骨摺樣損傷%診斷%治療
개씨골절양손상%진단%치료
Galeazzi fracture injury%Diagnosis%Treatment
目的：探讨儿童盖氏骨折样损伤的诊断及治疗。方法：2008年7月-2014年6月收治儿童盖氏骨折患儿7例，均无明显下尺桡脱位征象，但尺侧存有肿胀压痛症状。患儿采取闭合复位保守治疗(4例)和微创经皮克氏针固定术(3例)。术后给予旋后位石膏长臂石膏固定。结果：所有骨折均愈合，无下尺桡关节脱位表现，2例患儿按照软组织损伤处理，复查时予以石膏旋后位，石膏制动症状改善。结论：治疗儿童盖氏骨折样损伤需要对该损伤有一个全面的认识，处理桡骨骨折同时注意到尺侧症状、损伤可能原因及相关处理，治疗方面对简单的桡骨骨折行手法复位，对于复位不理想的骨折可配合微创切口经皮克氏针进行骨折对位固定，并对尺侧进行适度的整复，避免肌腱的崁顿。
目的：探討兒童蓋氏骨摺樣損傷的診斷及治療。方法：2008年7月-2014年6月收治兒童蓋氏骨摺患兒7例，均無明顯下呎橈脫位徵象，但呎側存有腫脹壓痛癥狀。患兒採取閉閤複位保守治療(4例)和微創經皮剋氏針固定術(3例)。術後給予鏇後位石膏長臂石膏固定。結果：所有骨摺均愈閤，無下呎橈關節脫位錶現，2例患兒按照軟組織損傷處理，複查時予以石膏鏇後位，石膏製動癥狀改善。結論：治療兒童蓋氏骨摺樣損傷需要對該損傷有一箇全麵的認識，處理橈骨骨摺同時註意到呎側癥狀、損傷可能原因及相關處理，治療方麵對簡單的橈骨骨摺行手法複位，對于複位不理想的骨摺可配閤微創切口經皮剋氏針進行骨摺對位固定，併對呎側進行適度的整複，避免肌腱的崁頓。
목적：탐토인동개씨골절양손상적진단급치료。방법：2008년7월-2014년6월수치인동개씨골절환인7례，균무명현하척뇨탈위정상，단척측존유종창압통증상。환인채취폐합복위보수치료(4례)화미창경피극씨침고정술(3례)。술후급여선후위석고장비석고고정。결과：소유골절균유합，무하척뇨관절탈위표현，2례환인안조연조직손상처리，복사시여이석고선후위，석고제동증상개선。결론：치료인동개씨골절양손상수요대해손상유일개전면적인식，처리뇨골골절동시주의도척측증상、손상가능원인급상관처리，치료방면대간단적뇨골골절행수법복위，대우복위불이상적골절가배합미창절구경피극씨침진행골절대위고정，병대척측진행괄도적정복，피면기건적감돈。
Objective:To investigate the diagnosis and treatment of galeazzi fracture like injury in children.Methods:7 cases of galeazzi fracture were selected from July 2008 to June 2014.There were no obvious signs of distal radioulnar dislocation,but there were symptoms of swelling and tenderness over the ulnar side.The children were given the closed reduction conservative treatment(4 cases) and minimally invasive percutaneous kirschner wire fixation(3 cases).And they were given the supination gypsum long arm cast immobilization after the operation.Results:All fractures were healed,and no dislocation of distal radioulnar joint performance.2 cases were given the treatment of soft tissue injury.They were given gypsum supination when review.The gypsum brake symptoms was improved.Conclusion:In the treatment of children's injury cover,we need to have a comprehensive understanding of the damage fracture.When we treated the fracture of radius,we also noticed the may cause injury of the ulnar side symptoms and related processing.In the treatment,we took manual reduction for simple fracture of radius.For the reset is not ideal fracture,we can combine with minimally invasive incision percutaneous K-wire fracture alignment fixed,and on the ulnar side of moderate reduction to avoid tendon Kan meal.
