儿童前臂远端骨折临床治疗方案的选择  

Choice of clinical treatment for children in the with distal forearm fracture

作　　者：庄文杰[1] 

机构地区：[1]贵阳医学院第二附属医院骨科,贵州凯里556000

出　　处：《医药前沿》2015年第6期86-87,共2页Journal of Frontiers of Medicine

摘　　要：目的：探讨儿童前臂远端骨折的临床治疗方案的合理选择。方法：选取我院收治的104例前臂远端骨折患儿作为研究对象，根据治疗方式的不同分为手术组（n=50）和保守组（n=54），保守组行闭合手法复位石膏外固定或小夹板外固定，手术组行切开复位内固定术，观察两组患儿的治疗效果。结果：手术组的治疗优良率为92．00％，保守组为87．04％，组间比较无显著性差异（P〉0．05）。保守组中有18例关节面存在轻度不平整，手术组未出现桡骨轴缩短，关节面均较平整。结论：临床治疗儿童前臂远端骨折，应根据骨折位置选择治疗方案，桡骨远端骨折宜选用手法复位外固定，桡骨骨折合并尺骨远端骨折者则需行切开复位内固定术。Objective To explore the clinical treatment of children＇s forearm distal fracture. Methods Select our hospital 104 cases of children with distal forearm fractures as the research object, according to the different methods of treatment were divided into treatment group （n=50） and conservative （n=54）, a conservative group closed technique reduction and plaster external fixation or small splint external fixation, the surgical line open reduction and internal fixation, to observe the effect of two groups of children. Results Surgical treatment was 92.00%, the conservative group was 87.04%, between groups was no significant difference （P〉0.05）. Conservative groups of 18 cases of mild uneven articular surface, either surgery does not appear radial shaft shortened, joint surface are relatively flat. Conclusions Children distal forearm fracture clinical treatment, treatment should be according to the fracture location choice, appropriate chooses distal radius fracture reduction and external fixation, distal radial fracture merge ulna fractures line is open reduction and internal fixation.

关 键 词：前臂远端骨折 桡骨 关节面移位 临床 

分 类 号：R720.5[医药卫生—儿科]