两种肘后入路治疗儿童难复性肱骨髁上骨折疗效比较  

Comparing the effects of treating the irreducible pediatric supracondylar humerus fractures through two kinds of posterior cubitus approaches

作　　者：陈锦云[1] 邱宏[1] 李立帜[1] 

机构地区：[1]福建省立医院小儿外科,福州350001

出　　处：《创伤与急诊电子杂志》2015年第1期25-26,24,共3页Journal of Trauma and Emergency(Electronic Version)

摘　　要：目的比较两种肘后入路切开复位对儿童难复性肱骨髁上骨折疗效的影响。方法回顾分析采用肘后入路切开复位治疗的75例儿童难复性肱骨髁上骨折病例,32例采用肱三头肌舌瓣入路,43例采用肱三头肌纵行分离入路。根据Flynn等肘关节功能评价标准,比较两组术后肘关节功能及并发症。结果肱三头肌纵行分开组,优25例,良15例,中3例,无一例出现肘内翻、关节僵硬;肱三头肌舌瓣组,优15例,良12例,中4例,1例出现关节僵硬。结论肱三头肌正中分开肘后入路治疗肱骨髁上骨折疗效理想,综合评价优于肱三头肌舌瓣入路。Objective To compare the effects of treating the irreducible pediatric supracondylar humerus fractures through two kinds of posterior cubitus approaches.Method Retrospective analysis was carried out and 75 cases of the irreducible pediatric supracondylar humerus fractures were analyzed with 32 cases through lingulate triceps brachii approach;43 cases through triceps longitudinal split approach. According to the elbow function evaluation standard such as Flynn＇s, we compared two groups of patients＇ elbow joint function and postoperative complications after the operation.Result In the group of triceps longitudinal split approach, 25 cases are optimal;15 cases are benign;3 cases are ordinary; no one appears elbow varus and stiff joints. In the group of lingulate triceps brachii approach, 15 cases are optimal; 12 cases are benign; 4 cases are ordinary,and 1 case appears stiff joints.Conclusion The effect of the triceps longitudinal split approach on the treatment of supracondylar hunerus fracture is ideal and its comprehensive evaluation is superior to the lingulate triceps brachii approach.

关 键 词：儿童肱骨髁上骨折 肘后入路 

分 类 号：R726.8[医药卫生—儿科]