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目的探讨肘内侧小切口切开复位治疗儿童肱骨髁上骨折的疗效及安全性。方法选取2012年7月至2014年6月132例肱骨髁上骨折患儿作为研究对象,采用随机数字表法将其分为研究组和对照组,各66例,研究组患儿采用肘内侧小切口切开复位克氏针内固定术治疗,对照组患儿采用闭合复位克氏针内固定术治疗。随访6个月,综合比较两组患儿手术时间、X线透视次数、骨折骨性愈合时间、术后肘关节功能评分及并发症情况。结果研究组患儿手术时间、透视次数均少于对照组(P<0.05);两组患儿术后骨折骨性愈合时间、肘关节功能评分优良率比较,差异无统计学意义(P>0.05);研究组患儿并发症发生率低于对照组(P<0.05)。结论肘内侧小切口切开复位治疗儿童肱骨髁上骨折效果确切,手术时间短,并发症少,稳定性强。
Objective To investigate the curative effect and safety of open incision of the medial elbow in the treatment of supracondylar humerus fractures in children. Methods A total of 132 children with supracondylar humerus fractures from July 2012 to June 2014 were selected as research objects. Random number table method was used to divide them into study group and control group, with 66 cases in each group. Incision open reduction Kirschner wire fixation, the control group of children treated with closed reduction Kirschner wire fixation. All the patients were followed up for 6 months. The operation time, X-ray times, fracture healing time, elbow joint function scores and complication were compared between the two groups. Results The operation time and the number of fluoroscopy in the study group were less than those in the control group (P <0.05). There was no significant difference between the two groups in the postoperative fracture healing time and elbow joint function score (P> 0.05) ). The incidence of complication in study group was lower than that in control group (P <0.05). Conclusion The small incision of the elbow incision open reduction treatment of supracondylar fracture of humerus exact effect, short operative time, fewer complications, and stability.