骺板损伤及后遗畸形的诊疗现状  

Diagnosis and treatment of epiphyseal plate injury with deformity

作　　者：黄长智[1] 杨效宁[2] 

机构地区：[1]徐州医学院,江苏221000 [2]徐州医学院附属第一人民医院,江苏221000

出　　处：《创伤外科杂志》2013年第2期175-177,共3页Journal of Traumatic Surgery

摘　　要：骺板损伤由于早期诊断困难,往往在肢体出现成角畸形和(或)短缩时才被发现。此时在骨骺与干骺端之间已经形成骨性连接即骨桥,若不去除骨桥将使正常的骺板全部或部分提前闭合,加重肢体短缩和(或)成角畸形。骺板早闭的治疗是一个既复杂又棘手的问题,包括骺板损伤早闭的早期手术及非手术治疗和骺板损伤早闭的晚期手术治疗(即各种后遗畸形的矫形术),本文参考国内外相关研究文献对骺板损伤后遗畸形的诊疗现状进行回顾,并对其前景作一展望。It is difficult to make early diagnosis for epiphyseal plate injury. Most of cases were diagnosed when limb reduction and （or） angulated deformity were observed,which resulted in the bony bridge between the epiphysis and metaphysis. Preserving bony bridge may cause severe partial or entire growth plate arrest and aggravate limb reduction and （ or） angulated deformity. The treatment of epiphyseal plate injury included surgical and nonsurgical treatment in the early stage and surgical treatment in the late stage. This article discusses the current development and future for the diagnosis and treatment of epiphyseal plate injury with deformity.

关 键 词：骺板损伤 畸形 矫形术 

分 类 号：R726.8[医药卫生—儿科]