闭合复位经皮克氏针内固定与切开复位克氏针内固定治疗儿童肱骨髁上骨折的疗效及安全性比较  

Comparison of the curative effect and safety of closed reduction and percutaneous Kirschner wire fixation and Kirschner wire fixation in the treatment of supracondylar fracture of humerus

作　　者：刘永强[1] 

机构地区：[1]山西省左云县人民医院骨科,037100

出　　处：《中国基层医药》2017年第22期3486-3489,共4页Chinese Journal of Primary Medicine and Pharmacy

摘　　要：目的 比较闭合复位经皮克氏针内固定与切开复位克氏针内固定在治疗儿童肱骨髁上骨折中的疗效及安全性.方法 选择肱骨髁上骨折患儿88例,采取计算机随机序列法分为闭合组（n=44）与切开组（n=44）,闭合组患儿给予闭合复位经皮克氏针内固定治疗,切开组患儿给予切开复位克氏针内固定治疗,比较两组患儿的治疗有效性及安全性.结果 闭合组手术时间[（59.47±12.23）min]、住院时间[（3.46±1.44）d]、骨折愈合时间[（32.46±7.41）d],均显著短于切开组,差异均有统计学意义（t=5.238、5.395、7.841,均P〈0.05）;闭合组术中出血量[（15.48±8.48）mL],显著少于切开组,差异有统计学意义（t=4.867,P〈0.05）;闭合组临床疗效（90.91%）显著优于切开组,差异有统计学意义（χ2=5.096,P〈0.05）;两组并发症发生率差异无统计学意义（6.82%比9.09%,χ2=0.155,P〉00.05）.结论 与切开复位克氏针内固定比较,闭合复位经皮克氏针内固定治疗儿童肱骨髁上骨折的临床疗效显著,安全可靠,值得在临床上推广使用.jective To compare the efficacy and safety of closed reduction and percutaneous Kirschner wire fixation and Kirschner wire fixation in the treatment of children with supracondylar fracture of humerus. Methods 88 children with supracondylar fracture of humerus in our hospital were randomly selected. And they were divided into closed group （ n =44 ） and open group （ n =44 ） by taking computer random sequence method. The closed group was treated with closed reduction and percutaneous Kirschner wire fixation,the open group was treated with Kirschner wire fixation. The treatment effect and safety of the two groups were compared. Results The operation time [（59.47 ±12.23）min],hospitalization time [（3.46 ±1.44） d],fracture healing time[（32.46 ±7.41）d] of the closed group were significantly shorter than those of the open group （t=5. 238,5. 395,7. 841,all P〈0. 05）. The amount of bleeding[（15.48 ±8.48）mL] of the closed group was significantly less than that of the open group （t=4. 867,P〈0. 05）. The effective rate of the closed group （90. 91%） was significantly better than the open group （χ2 =5. 096,P〈0. 05）. The incidence rate of complication between the two groups had no significant difference （6. 82%vs. 9. 09%,χ2 =0. 155,P〉0. 05）. Conclusion Compared with open reduction and Kirschner wire internal fixation, closed reduction and percutaneous Kirschner wire fixation in the treatment of children with supracondylar fracture of humerus has significant curative effect,it is safe and reliable,which is worthy of promotion in clinic.

关 键 词：肱骨骨折 疗效比较研究 

分 类 号：R687.3[医药卫生—骨科学]