手法闭合复位结合经皮克氏针固定治疗儿童肱骨髁上骨折的疗效探讨  

Discussion on the Effect of Closed Reduction combined with Percutaneous Kirschner Wire Internal Fixation in the Treatment of Supracondylar Fractures of the Humerus in Children

作　　者：邵旭辉[1] 

机构地区：[1]河南省濮阳市中医院急诊科,濮阳457001

出　　处：《光明中医》2015年第12期2600-2602,共3页GUANGMING JOURNAL OF CHINESE MEDICINE

摘　　要：目的探讨手法闭合复位联合外侧入路或交叉入路经皮克氏针固定治疗儿童肱骨髁上骨折的临床疗效。方法自2010年6月-2014年6月收治的35例肱骨髁上骨折患儿,18例行手法闭合复位联合外侧入路经皮克氏针固定治疗（外侧入路组）,17例手法闭合复位联合交叉入路经皮克氏针固定治疗（交叉入路组）,随访时间8~30月个后根据Flynn评价标准对肘关节功能进行评定。结果外侧入路组优良率为94.44%,交叉入路组优良率为88.24%,差异无统计学意义（P〉0.05）。结论手法闭合复位结合外侧入路和内外交叉入路经皮克氏针内固定治疗儿童肱骨髁上骨折都可以获得满意的临床疗效,但外侧入路组优于交叉入路组,应当根据患者的具体情况及其操作熟练程度采取合适的手术入路。Objective To explore the clinical effect of closed reduction combined with lateral approach and internal and external cross approaches by percutaneous Kirschner wire internal fixation in the treatment of supracondylar fracture of humerus in children. Methods 35 cases of patients with supracondylar fracture of humerus in children from June 2010 to June 2014 were treated. 18 cases received closed reduction combined with lateral approach by percutaneous Kirschner wire internal fixation treatment （ lateral group）. 17 cases received closed reduction combined with internal and external cross approaches by percutaneous Kirschner wire internal fixation （ crossed group）. After following-up for 8 ~ 30 months, the elbow joint function was evaluated according to Flynn evaluation standard. Results The excellent rate of the lateral group and the crossed group was 94. 44% and 88.24% , respectively, and the difference was not statistically significant （P 〉 0. 05）. Conclusion Closed reduction combined with lateral approach and internal and external cross approaches by percutaneous Kirschner wire internal fixation in the treatment of supracondylar fracture of humerus in children can get satisfied clinical effect, and the lateral group was superior to the crossed group. Doctors should determine appropriate surgical approaches based on the patient＇ s specific situation and operational maturity.

关 键 词：儿童肱骨髁上骨折 手法闭合复位 经皮克氏针固定 临床观察 

分 类 号：R726.8[医药卫生—儿科]