中国医学创新
中國醫學創新
중국의학창신
MEDICAL INNOVATION OF CHINA
2015年
17期
18-20
,共3页
小儿肱骨髁上骨折%闭合复位%克氏针固定%临床效果分析
小兒肱骨髁上骨摺%閉閤複位%剋氏針固定%臨床效果分析
소인굉골과상골절%폐합복위%극씨침고정%림상효과분석
Humeral supracondylar fracture in children%Closed reduction%Kirschner wire fixation%Clinical effect analysis
目的：研究分析采用闭合复位克氏针固定术治疗小儿肱骨髁上骨折的临床效果并作出评价。方法：依据纳入排除标准，选取2012年12月-2014年12月在本院儿科接受手术治疗的120例肱骨髁上骨折的患儿作为临床研究对象，并将患儿按照随机数字表法分为研究组和对照组，每组各60例。对照组采用临床上常用的切开复位克氏针固定治疗方法，研究组采用闭合复位克氏针固定术治疗。在治疗后的6~12个月，对两组患儿治疗后的恢复情况进行回访调查，作出评分比较其临床效果差异。结果：两组患儿经手术治疗后肱骨髁上骨折处均愈合，研究组患儿的手术时间、住院时间及骨折部位愈合时间与对照组比较均明显缩短，差异均有统计学意义（P<0.05）。研究组患儿术后恢复评定等级为优的30例，良29例，一般1例，对照组患儿评定等级为优的14例，良23例，一般21例，组间差异有统计学意义（P<0.05）。研究组患儿的优良率（98.3%）明显高于对照组（61.7%），差异有统计学意义（P<0.05）。研究组无感染例数，对照组有2例恢复较差，出现感染，差异有统计学意义（P<0.05）。结论：采用闭合复位克氏针固定术治疗小儿肱骨髁上骨折的临床疗效较佳，患儿术后恢复情况的优良率较高，骨折部位愈合所需时间短，感染率低，无其他并发症，患儿家属普遍愿意接受，临床推广使用价值较高。
目的：研究分析採用閉閤複位剋氏針固定術治療小兒肱骨髁上骨摺的臨床效果併作齣評價。方法：依據納入排除標準，選取2012年12月-2014年12月在本院兒科接受手術治療的120例肱骨髁上骨摺的患兒作為臨床研究對象，併將患兒按照隨機數字錶法分為研究組和對照組，每組各60例。對照組採用臨床上常用的切開複位剋氏針固定治療方法，研究組採用閉閤複位剋氏針固定術治療。在治療後的6~12箇月，對兩組患兒治療後的恢複情況進行迴訪調查，作齣評分比較其臨床效果差異。結果：兩組患兒經手術治療後肱骨髁上骨摺處均愈閤，研究組患兒的手術時間、住院時間及骨摺部位愈閤時間與對照組比較均明顯縮短，差異均有統計學意義（P<0.05）。研究組患兒術後恢複評定等級為優的30例，良29例，一般1例，對照組患兒評定等級為優的14例，良23例，一般21例，組間差異有統計學意義（P<0.05）。研究組患兒的優良率（98.3%）明顯高于對照組（61.7%），差異有統計學意義（P<0.05）。研究組無感染例數，對照組有2例恢複較差，齣現感染，差異有統計學意義（P<0.05）。結論：採用閉閤複位剋氏針固定術治療小兒肱骨髁上骨摺的臨床療效較佳，患兒術後恢複情況的優良率較高，骨摺部位愈閤所需時間短，感染率低，無其他併髮癥，患兒傢屬普遍願意接受，臨床推廣使用價值較高。
목적：연구분석채용폐합복위극씨침고정술치료소인굉골과상골절적림상효과병작출평개。방법：의거납입배제표준，선취2012년12월-2014년12월재본원인과접수수술치료적120례굉골과상골절적환인작위림상연구대상，병장환인안조수궤수자표법분위연구조화대조조，매조각60례。대조조채용림상상상용적절개복위극씨침고정치료방법，연구조채용폐합복위극씨침고정술치료。재치료후적6~12개월，대량조환인치료후적회복정황진행회방조사，작출평분비교기림상효과차이。결과：량조환인경수술치료후굉골과상골절처균유합，연구조환인적수술시간、주원시간급골절부위유합시간여대조조비교균명현축단，차이균유통계학의의（P<0.05）。연구조환인술후회복평정등급위우적30례，량29례，일반1례，대조조환인평정등급위우적14례，량23례，일반21례，조간차이유통계학의의（P<0.05）。연구조환인적우량솔（98.3%）명현고우대조조（61.7%），차이유통계학의의（P<0.05）。연구조무감염례수，대조조유2례회복교차，출현감염，차이유통계학의의（P<0.05）。결론：채용폐합복위극씨침고정술치료소인굉골과상골절적림상료효교가，환인술후회복정황적우량솔교고，골절부위유합소수시간단，감염솔저，무기타병발증，환인가속보편원의접수，림상추엄사용개치교고。
Objective:To evaluate and analyze the clinical effect of closed reduction and Kirschner wire fixation on supracondylar fracture of the humerus in children.Method:According to the inclusion and exclusion criteria,120 cases of fracture of humeral condyle who achieved treatment in Pediatrics of our hospital from 2012 December to 2014 December were selected as clinical research object,and the children were randomly divided into study group and control group in accordance with the random number table method,each group had 60 cases.The control group used open reduction and Kirschner wire fixation, study group used closed reduction and Kirschner wire fixation.After treatment during 6-12 months,did visit investigation of two groups recovery,the difference of clinical effect was compared and made the score.Result:After supracondylar fracture of the humerus,return data displayed that study groups’ operation time,the time of hospitalization and bone fracture healing time compared with the control group were significantly decreased,there were statistical significance (P<0.05).Postoperative recovery of 30 patients in research group were classified as excellent,29 cases good,1 case general,14 cases were classified as excellent in control group,23 cases good,21 cases general,there was statistical significance (P<0.05).The excellent and good rate of study group of children (98.3%) was significantly higher than that in control group (61.7%),the differences were obvious, with statistical significance (P<0.05).Research group of no infection cases,the control group had 2 cases recovery is poor,infection,the difference was statistically significant (P<0.05).Conclusion:The clinical curative effect of supracondylar fracture of humerus in children with closed reduction and Kirschner wire fixation is better,the excellent rate of postoperative recovery is higher,fracture healing time is short,with low infection rate and no other complications,the child’s family are generally willing to accept,it has high clinical value.
