手法复位夹板固定治疗小儿肱骨髁上骨折的临床研究  

The Clinical Research of Manual Reduction Splint Fixation for the Treatment of Supracondylar Fracture of the Humerus in Children

作　　者：吴向前[1] 张修儒[1] 鲍险峰[1] 

机构地区：[1]广东省东莞市厚街医院,523945

出　　处：《医学信息（下旬刊）》2009年第8期102-103,共2页Medical information

摘　　要：目的：总结手法复位夹板固定治疗小儿肱骨髁上骨折的经验。方法：选取2006年3月至2009年1月新鲜闭合性小儿肱骨髁上骨折70例，治疗组37例，进行手法复位夹板固定治疗，对照组33例采取肘部内外侧联合切口切开复位内固定治疗，两组均随访6个月～1年。结果：治疗组总优良率为91.89％，对照组优良率87．88％。经卡方检验，x^2=0．3121，P=0．5764〉0．05，两组疗效无明显差异。结论：两组疗效无明显差异，均较满意。但是手法复位夹板固定治疗小儿肱骨髁上骨折，患者痛苦小、恢复快、效果好、后遗症少，方法简单，安全可靠，还避免了手术感染及二次手术取内固定之弊，为治疗该种骨折的首选方法。objective：Summary of manual reduction splint fixation for the treatment of supracondylar fracture of the humerus in children＇s experience. Methods：Selected from March 2006 to January 2009 fresh closed supracondylar fracture of the humerus in children with 70 cases, 37 cases of treatment group, the way to reset fixed splint treatment, 33 cases of the control group to take the elbow joint with the lateral incision open reduction and internal fixation treatment the two groups were followed up 6 months to 1 year. Results：The total rate of 91.89% fine, fine rate of the control group 87.88%. By chi--square test, X^2 = 0. 3121,P= 0. 5764〉 0.05, There was no significant difference in the two groups. Conclusion：There was no significant difference between the two groups, were satisfied. However, manual reduction splint fixation for the treatment of supracondylar fracture of the humerus in children, patients with pain and rapid recovery and effective, fewer after--effects, method is simple, safe and reliable, but also to avoid infection and secondary surgical operation from the disadvantages of internal fixation for the treatment of the the preferred method of fracture.

关 键 词：肱骨髁上骨折 小儿 非手术 

分 类 号：R726.8[医药卫生—儿科]