维吾尔医治疗儿童前臂双骨折临床疗效观察

发布时间：2018-01-10 11:11

本文关键词：维吾尔医治疗儿童前臂双骨折临床疗效观察　出处：《新疆医科大学》2017年硕士论文　论文类型：学位论文

【摘要】：目的:探讨儿童前臂双骨折维吾尔医保守治疗与手术治疗方法的选择及其临床疗效。方法:回顾分析了2014年3月至2016年11月间所治疗的儿童前臂双骨折病例共60例,根据其治疗手段的不同分为维吾尔医接骨疗法组(外固定组)和手术组(内固定组)治疗组各30例。维吾尔医接骨疗法组(外固定组)治疗采用维吾尔医手法复位石膏外固定及,蛋清绷带并四块前臂夹板和前臂托板固定。手术组(内固定组)采用闭合复位克氏针内固定治疗。等骨折愈合后分别对骨折愈合时间的长短、对前臂旋转功能的恢复给予的评价以及在并发症的发生率方面进行比较。结果:在对儿童前臂双骨折的骨折愈合时间长短方面进行比较,得出维吾尔医接骨疗法组优于手术治疗组(P0.05);在对前臂旋转功能给予评价方面得出维吾尔医接骨疗法组优于手术治疗组(P0.05);对于儿童前臂双骨折治疗后观察并发症的发生率方面,两组间没有明显差异(P0.05)。结论::经临床观察和随访结果表明:维吾尔医保守以及手术治疗都获得了显著的成效。同时将两类方式进行对比可发现,前者在骨折愈合时间相对较短,前臂的功能能够得到很好的恢复,然而在并发症的问题上,这两组并没有太多的差异;在有关综合性的对比上,采取维吾尔医外固定的方案具备显著的优势
[Abstract]:Objective: to explore the choice of conservative treatment and surgical treatment for double forearm fractures in children. From March 2014 to November 2016, 60 cases of double forearm fractures in children were analyzed retrospectively. According to their different treatment methods, they were divided into Uygur medical osteotherapy group (external fixation group) and operation group (internal fixation group) 30 cases each. Uygur medical osteosynthesis therapy group (external fixation group). The treatment was done by using Uygur medical manual reduction and plaster external fixation. Egg white bandage with four forearm splints and forearm brachial plate fixation. The operation group (internal fixation group) was treated with closed reduction Kirschner needle fixation. Evaluation of the recovery of forearm rotation and comparison of the incidence of complications. Results: the length of fracture healing in children with double forearm fractures was compared. The results showed that the Uygur medical osteosynthesis therapy group was superior to the surgical treatment group (P 0.05). In the evaluation of the rotation function of forearm, the Uygur medical osteosynthesis therapy group was superior to the surgical treatment group (P 0.05). To observe the incidence of complications after treatment of double forearm fractures in children. There was no significant difference between the two groups (P0.05). Conclusion: the results of clinical observation and follow-up showed that both Uygur medical insurance and surgical treatment had achieved remarkable results. At the same time, the comparison of the two methods can be found. In the former group, the healing time is relatively short and the forearm function can be recovered well. However, there is not much difference between the two groups in terms of complications. In the comprehensive comparison, Uygur external fixation has significant advantages.
【学位授予单位】：新疆医科大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R29

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