经皮交叉克氏针固定治疗移位型儿童肱骨髁上骨折效果观察

发布时间：2018-01-25 21:53

本文关键词： 移位型儿童肱骨髁上骨折经皮交叉克氏针固定切开复位克氏针固定肘关节功能　出处：《山东医药》2017年38期 　论文类型：期刊论文

【摘要】：目的观察经皮交叉克氏针固定治疗移位型儿童肱骨髁上骨折的效果。方法 76例移位型儿童肱骨髁上骨折患者,将其随机分为对照组、观察组各38例。对照组接受切开复位克氏针固定治疗,观察组接受闭合复位经皮交叉克氏针固定治疗。比较两组手术时间、术中出血量、术后骨折愈合时间,采用Flynn肘关节功能评分评价两组治疗前、后肘关节功能变化,观察两组临床疗效及术后并发症发生情况。结果治疗后两组FLynn评分均高于治疗前,且观察组高于对照组(P均0.05)。与对照组治疗后相比,观察组手术时间短、术中出血量少、术后骨折愈合时间短、临床疗效优良率高、术后并发症发生率低(P均0.05)。结论采用经皮交叉克氏针固定治疗移位型儿童肱骨髁上骨折可促进患儿肘关节功能恢复,减轻患儿创伤,提高临床治疗效果,减少术后并发症的发生。
[Abstract]:Objective to observe the effect of percutaneous cross Kirschner needle fixation on displaced supracondylar humeral fractures in children. Methods 76 cases of displaced children with supracondylar fractures of humerus were randomly divided into control group. The control group received open reduction and Kirschner needle fixation, while the observation group received closed reduction and percutaneous cross Kirschner needle fixation. The operative time, intraoperative blood loss and fracture healing time were compared between the two groups. Flynn score was used to evaluate the changes of elbow function before and after treatment. Results after treatment, the FLynn score of the two groups was higher than that before treatment, and the observation group was higher than that of the control group (P < 0.05). In the observation group, the operative time was short, the amount of intraoperative bleeding was less, the time of fracture healing was short, and the rate of clinical curative effect was high. Conclusion Percutaneous cross Kirschner needle fixation for humeral supracondylar fracture in children can promote the recovery of elbow joint function and alleviate the trauma in children. To improve the effect of clinical treatment and reduce the incidence of postoperative complications.
【作者单位】：西宁市第二人民医院;
【分类号】：R726.8
【正文快照】： 临床上,儿童肱骨髁上骨折主要是指肱骨远端内外髁上方2~3 cm处的骨折,同时也是儿童肘部常见骨折,大约占肘部骨折的75.0%,占小儿全身骨折的26.7%,常发生于5~12岁儿童,且6~7岁为发病高峰年龄段[1,2]。儿童肱骨髁上骨折处理不当易合并缺血性肌肉挛缩、神经损伤或肘内翻畸形,从而

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