小儿伸直型肱骨髁上骨折两种不同固定方式的临床研究  

Clinical study of two kinds fixation in treating pediatric extension-type supracondylar fracture of humerus

作　　者：胡国红[1] 

机构地区：[1]兰考县人民医院骨二科,兰考475300

出　　处：《外科研究与新技术》2015年第3期172-175,共4页Surgical Research and New Technique

摘　　要：目的探讨不同固定方式治疗小儿伸直性肱骨髁上骨折的临床疗效。方法回顾性分析2013年2月至2014年2月在我院进行治疗的48例小儿伸直型肱骨髁骨折患者的临床资料,根据固定方式将48例患者分成两组,克氏针组与夹板组,每组24例,克氏针组采取闭合复位后经皮克氏针固定,夹板组采取手法复位后杉树皮小夹板外固定,比较两组患者手术后骨折移位情况,12个月后肢体功能活动情况及术后并发症发生率。结果克氏针组无移位的发生率明显大于夹板组,差异有统计学意义(P<0.01)。而夹板组的轻度移位,Mc IntyreⅢa,Mc IntyreⅢb的发生率明显高于克氏针组,差异有统计学意义(P<0.01)。克氏针组的优良例数明显高于对照组,差异有统计学意义(P<0.01)。克氏针组患者术后并发症发生率明显低于对照组,差异有统计学意义(P<0.01)。结论克氏针固定术治疗小儿伸直型肱骨髁骨折具有术后移位少,功能恢复好,并发症发生率低等特点,故在小儿伸直型骨髁骨折治疗过程中应优先选择。Objective To investigate the clinical effect of different fixation method in treating pediatric extensiontype supracondylar fracture of humerus. Methods 48 cases of pediatric extension- type supracondylar fracture of humerus in our hospital from February 2013 to February 2014 were selected and they were divided into K- wire group and splint group,24 cases in each group. K-wire group was given closed reduction and percutaneous K-wires fixation,splint group was given maneuver reposition and external fixation of small splints. Compared the fracture displacement situation,motor function of limbs after 3 months,postoperative morbidity rate of the two groups. Results Occurrence rate of fracture displacement of K- wire group was obviously larger than splint group（P〈0.01）,the difference was statistically significant. Mild displacement,Mc IntyreⅢa and Mc IntyreⅢb occurrence rate of splint group was obviously higher than K- wire group（P〈0.01）,the difference was statistically significant. Excellent cases of K- wire group was obviously higher than control group（P〈0.01）,the difference was statistically significant. Adverse reaction rate of Kwire group was obviously lower than control group（P〈0.01）,the difference was statistically significant. Conclusion Kwire fixation in treating pediatric extension- type supracondylar fracture of humerus has mild displacement,quicker function recovery,lower complication incidence rate and should be chosen preferentially.

关 键 词：肱骨髁骨折 克氏针 夹板 儿童 

分 类 号：R726.8[医药卫生—儿科]