中外医疗
中外醫療
중외의료
CHINA FOREIGN MEDICAL TREATMENT
2015年
16期
16-17
,共2页
闭合复位%切开复位%内固定%肱骨髁上骨折
閉閤複位%切開複位%內固定%肱骨髁上骨摺
폐합복위%절개복위%내고정%굉골과상골절
Closed reduction%Open reduction%Internal fixation%Supracondylar fracture of humerus
目的：比较闭合复位内固定术与切开复位内固定术治疗肱骨髁上骨折的临床疗效。方法以该院2013年2月-2014年9月期间所收治93例肱骨髁上骨折患者作为研究对象，随机分为两组。 A组行切开复位内固定术，B组行闭合复位外固定术，比较两组手术前后携提角与随访结果的关节功能优良率。结果两组手术前，Ⅱ型、Ⅲ型患者携提角的比较差异无统计学意义(P>0.05)；术后，A组Ⅱ型、Ⅲ型患者携提角均显著大于对照组，差异有统计学意义(P<0.05)；A组术后关节功能优良率为95.74%，显著高于对照组82.60%，差异有统计学意义(P<0.05)。结论切开复位内固定治疗肱骨髁上骨折与闭合复位内固定相比可更有效控制携提角丢失情况，最大限度恢复患者术后肘关节伸直功能，为有效治疗方案，具有较高借鉴价值。
目的：比較閉閤複位內固定術與切開複位內固定術治療肱骨髁上骨摺的臨床療效。方法以該院2013年2月-2014年9月期間所收治93例肱骨髁上骨摺患者作為研究對象，隨機分為兩組。 A組行切開複位內固定術，B組行閉閤複位外固定術，比較兩組手術前後攜提角與隨訪結果的關節功能優良率。結果兩組手術前，Ⅱ型、Ⅲ型患者攜提角的比較差異無統計學意義(P>0.05)；術後，A組Ⅱ型、Ⅲ型患者攜提角均顯著大于對照組，差異有統計學意義(P<0.05)；A組術後關節功能優良率為95.74%，顯著高于對照組82.60%，差異有統計學意義(P<0.05)。結論切開複位內固定治療肱骨髁上骨摺與閉閤複位內固定相比可更有效控製攜提角丟失情況，最大限度恢複患者術後肘關節伸直功能，為有效治療方案，具有較高藉鑒價值。
목적：비교폐합복위내고정술여절개복위내고정술치료굉골과상골절적림상료효。방법이해원2013년2월-2014년9월기간소수치93례굉골과상골절환자작위연구대상，수궤분위량조。 A조행절개복위내고정술，B조행폐합복위외고정술，비교량조수술전후휴제각여수방결과적관절공능우량솔。결과량조수술전，Ⅱ형、Ⅲ형환자휴제각적비교차이무통계학의의(P>0.05)；술후，A조Ⅱ형、Ⅲ형환자휴제각균현저대우대조조，차이유통계학의의(P<0.05)；A조술후관절공능우량솔위95.74%，현저고우대조조82.60%，차이유통계학의의(P<0.05)。결론절개복위내고정치료굉골과상골절여폐합복위내고정상비가경유효공제휴제각주실정황，최대한도회복환자술후주관절신직공능，위유효치료방안，구유교고차감개치。
Objective To compare the clinical effects of closed reduction internal fixation and open reduction internal fixation in treatment of supracondylar fracture of humerus. Methods 93 cases of supracondylar fracture patients in our hospital in February 2013 - September 2014 were selected as the research object and randomly divided into two groups. Open reduction internal fixa-tion of was performed in group A, while group B underwent closed reduction external fixation, Portable angle before and after oper-ation and the follow-up results of the excellent and good rate of joint function were compared between the two groups. Results The two groups before operation, difference of portable angle in type II, type III patients was not statistically significant (P>0.05);after operation, portable angle in type II, type III of patients in group A were significantly higher than the control group, differences were statistically significant (P<0.05);In group A, the postoperative excellent rate of joint function was 95.74%, was significantly higher than the control group of 82.60%, differences were statistically significant (P<0.05). Conclusion Compared with closed re-duction internal fixation, open reduction internal fixation can be more effective in control of portable angle for treatment of supra-condylar fracture of humerus and maximize the recovery of postoperative elbow extension function, so it is an effective treatment scheme and has high reference value.
