小儿桡骨小头半脱位的临床分析  

Clinical Analysis of Radial Head Subluxation in Children

作　　者：张东[1] 贺海燕[2] 

机构地区：[1]江苏省苏州大学附属第二医院急诊外科,215004 [2]苏州大学附属第二医院高新区医院儿科,215151

出　　处：《中华全科医学》2008年第10期997-998,共2页Chinese Journal of General Practice

摘　　要：目的探讨桡骨小头半脱位的发病机制、易发年龄及治疗方法。方法对207例桡骨小头半脱位患儿的易发年龄及诊治进行回顾性分析。结果207例桡骨小头半脱位患儿中6个月至≤3岁158例,占76.33%,〉3岁~6岁49例,占23.67%,两年龄段相比差异有统计学意义（u=7.577,P〈0.01）;179例患儿经手法复位后痊愈,无复发;28例患儿复位后复发,经再次复位后给于石膏托固定3周后痊愈,再无复发。结论本文资料显示,桡骨小头半脱位多见于3岁及3岁以下患儿,对就诊患儿进行及时诊断及治疗,必要时对复发的病例予以石膏托固定3周,均可取得满意疗效。Objective To investigate the mechanism, age vulnerable and treatment methods of radial head subluxation in children. Methods The age vulnerable, diagnosis and treatment, and other material of 207 children with radial head subluxation were analyzed retrospectively. Results In all 207 cases, the children of 0.5 to 3 years old accounted for 76.33 % （ 158 cases）, and 3 to 6 years old accounted for 23.67% （49 cases）. There was statistical difference between the two age stages（ u = 7. 577 ,P 〈 0.01 ）. 179 cases recovered after ciosed reduction without recurrence ;28 cases recurred again and were cured by the reduction and plaster slab fixation 3 weeks later. Conclusions The radial head subluxation is more common in children less than three years old. The timely diagnosis and treatment, plaster slab fixation of three weeks for the recurrence cases as necessary can achieve a satisfactory curative effect.

关 键 词：小儿 桡骨小头 半脱位 

分 类 号：R684.79[医药卫生—骨科学]