不同复位方案治疗肱骨髁上骨折低龄患者的疗效比较  

Efficacy comparison of different reset scheme in the treatment of young patients with supracondylar fracture of humerus

作　　者：余海宁[1] 任飞[1] 

机构地区：[1]汉中市人民医院骨科,陕西汉中723000

出　　处：《临床医学研究与实践》2018年第4期45-46,共2页Clinical Research and Practice

摘　　要：目的分析比较不同复位方案治疗肱骨髁上骨折低龄患者的疗效。方法回顾性分析2011年12月至2016年12月我院收治的60例肱骨髁上骨折低龄患者的临床资料,按照治疗方式不同分为观察组(n=30,采用闭合复位)和对照组(n=30,采用切开复位),观察比较两组患者的治疗效果。结果观察组患者的手术时间、住院时间明显短于对照组,术中出血量明显少于对照组(P<0.05)。观察组的肘关节功能恢复优良率为93.33%,明显高于对照组的70.00%(P<0.05)。观察组并发症总发生率为6.67%,明显低于对照组的26.67%(P<0.05)。结论闭合复位治疗肱骨髁上骨折固定安全稳定,功能恢复快,在一定程度上降低了肘内翻和肘外翻的发生率,值得应用。Objective To analyze and compare the curative effects of different reduction schemes in the treatment of supracondylar fracture of humerus in young patients. Methods From December 2011 to December 2016, 60 patients with supracondylar fracture of humerus treated in our hospital were divided into the observation group（n=30, treated with closed reduction） and the control group（n =30, treated with open reduction）, and the therapeutic effects were observed and compared in the two groups. Results The operation time and hospitalization time in the observation group were significantly shorter than those in the control group, and the amount of bleeding in the observation group was significantly less than that in the control group（P 0.05）. The elbow joint function recovery rate in the observation group was 93.33%, which was significantly higher than 70.00% in the control group（P 0.05）. The total complication rate in the observation group was6.67%, which was significantly lower than 26.67% in control group（P〈0.05）. Conclusion The reset of closed reduction is safety and stability, with fast function recovery, and reduces the incidence of cubitus varus and cubitus valgus to a certain extent and it is worthy of application.

关 键 词：闭合复位 肱骨髁上骨折 低龄患者 

分 类 号：R726.8[医药卫生—儿科]