儿童肱骨下端解剖特点与髁上骨折手术治疗疗效分析  

Anatomic features of the inferior extremity of humerus and operation effects of supracondylar fracture in children

作　　者：刘成恩[1] 盛新君[1] 樊仕才[1] 王宏波[1] 周新强[2] 万黎[1] 

机构地区：[1]广州医学院附属深圳沙井医院骨科,广东深圳518104 [2]富阳市中医骨伤科医院骨科,浙江富阳311400

出　　处：《中国临床解剖学杂志》2007年第5期601-603,共3页Chinese Journal of Clinical Anatomy

摘　　要：目的：探讨儿童肱骨髁上移位骨折的特点与手术治疗效果。方法：对2001年1月至2006年1月作者手术治疗的106例3-14岁Ⅱb及Ⅲ型儿童肱骨髁上移位骨折患者进行随访，根据McIntyre分型，Ⅱb型27例，Ⅲ型79例；伸直型98例，曲屈型8例；均在麻醉状态下行外侧或前外侧切口入路，使骨折解剖复位，内、外侧髁交叉克氏针固定。结果：本组106例中99例获得有效随访，随访6-36个月，均在4周内达临床愈合；按Flynn评分标准，优92例，良4例，差3例，优良率达97％。结论：通过对儿童肱骨髁上移位骨折手术治疗的临床观察，手术治疗肱骨髁上骨折是一项值得推广的治疗手段，手术的关键是对骨折的解剖复位及内固定的稳固。Objective： To explore features of displaced supracondylar fracture in children and analyze its curative effects. Mothods： 106 cases suffered from supracondylar fracture and treated with operation method from 2001 to 2006, with the age ranged from 3 to 14 ）,cars old, wcrc followed up. According to Mclntyrc standard, 27 cases wcrc Ⅱb type, 79 cases Ⅲ type, 98 cases extension type, and 8 cases flexion type. For all cases, lateral or antcrolatcral approaches wcrc performed following with rcplaccrncnt and fixation of Kirschncr wire. Results： 99 of total cases healed during 4 weeks with 92 cases of excellence according to Flynn standard. Conclusions： Operation method is reliable for treating of humeral supracondylar fracture in children, which should bc spread, however, rcplaccrncnt and internal fixation arc key clcrncnts for succeed operation process.

关 键 词：儿童 肱骨髁上骨折 移位 克氏针固定 

分 类 号：R726.8[医药卫生—儿科]