CAJ | 학술논문

目的评价切开复位钢板内固定术和闭合或切开复位外固定架术对于治疗儿童前臂远端骨折的治疗效果.方法选取2010年7月至2013年9月河南省南阳市中心医院小儿外科手术治疗前臂远端尺桡骨骨折的患儿89例,其中选择切开复位钢板内固定治疗的患儿46例,选择闭合或切开复位外固定架治疗的患儿43例.根据选择手术时间、手术出血量、切口长度、住院时间、骨折愈合时间、术后并发症和Berton评价标准进行评价.结果外固定架组在手术时间、手术出血量、切口长度、骨折愈合时间、术后并发症和Berton评价标准方面优于内固定组,差异有统计学意义(69.6％比88.4％,21.7％比11.6％,8.7比0,P＜1.05).而在住院时间差异无统计学意义[(9.8±1.1)d比(10.2±1.4)d,P＞1.05].结论儿童前臂远端骨折使用外固定架治疗,由于操作简单,损伤较小,术后功能恢复较好,是一种较好的手术方式.
목적 평개절개복위강판내고정술화폐합혹절개복위외고정가술대우치료인동전비원단골절적치료효과.방법 선취2010년7월지2013년9월하남성남양시중심의원소인외과수술치료전비원단척뇨골골절적환인89례,기중선택절개복위강판내고정치료적환인46례,선택폐합혹절개복위외고정가치료적환인43례.근거선택수술시간、수술출혈량、절구장도、주원시간、골절유합시간、술후병발증화Berton평개표준진행평개.결과 외고정가조재수술시간、수술출혈량、절구장도、골절유합시간、술후병발증화Berton평개표준방면우우내고정조,차이유통계학의의(69.6％비88.4％,21.7％비11.6％,8.7비0,P＜1.05).이재주원시간차이무통계학의의[(9.8±1.1)d비(10.2±1.4)d,P＞1.05].결론 인동전비원단골절사용외고정가치료,유우조작간단,손상교소,술후공능회복교호,시일충교호적수술방식.
Objective To explore the treatment outcomes of plate internal and external fixations for distal forearm fractures in children.Methods From July 2010 to September 2013,a total of 89 children were operated for distal forearm ulnar and radial fractures,including plate fixation (n =46) and external fixation (n =43).Two groups were evaluated in terms of operative duration,bleeding volume,length of incision,hospitalization length,fracture healing time,postoperative complications and Berton evaluation criteria.Results As compared with internal fixation group,external fixation group fare better in operative duration,bleeding volume,operation incision length,fracture healing time and postoperative complications with significant differences (P ＜ 0.05).And the hospitalization time had no significant difference (P ＞0.05).Conclusion Treating distal forearm fractures with external fixation offers the advantages of simpler handling,lesser injury and better postoperative functional recovery in children.