手法复位联合弹性髓内钉固定治疗小儿肱骨干骨折的疗效评价  

Evaluation on Curative Effect of Manipulative Reduction Combined with Elastic Intramedullary Nail Fixation in Treatment of Children with Fracture of Humeral Shaft

作　　者：李帅 董震 李伟 李友 王林涛 齐鹏 LI Shuai;DONG Zhen;LI Wei;LI You;WANG Lin-tao;QI Peng(Department of Pediatrics and Orthopedics,Qingdao Women and Children Hospital,Qingdao,Shandong Province,266000 China)

机构地区：[1]青岛市妇女儿童医院小儿骨科,山东青岛266000

出　　处：《系统医学》2018年第18期109-111,共3页Systems Medicine

摘　　要：目的将手法复位与弹性髓内钉固定方法联合应用于小儿肱骨干骨折的治疗中,评价和探究临床疗效。方法该文参加研究的数据资料源自2016年3月—2018年3月该院收入并予以治疗的60例肱骨干骨折患儿,按照计算机法实施分组,手法复位与石膏固定方法联合用于参照组(30例),手法复位与弹性髓内钉固定方法联合用于实验组(30例),计算并分析两组患儿的术中出血量、手术耗时、骨折愈合用时、肩关节活动度、肘关节活动度、术后并发症统计率。结果实验组患儿的术中出血量、手术耗时、骨折愈合用时(94.2±23.0)mL、(56.0±12.2)min、(9.0±1.1)周,比对参照组患儿相关计算数值(187.0±35.5)mL、(71.3±14.0)min、(12.8±2.0)周更低,差异有统计学意义(t=12.016 3、4.512 7、9.118 5,P<0.05),实验组患儿的肩关节活动度、肘关节活动度(153.0±14.6)°、(133.0±10.4)°比对参照组患儿相关计算数值(110.4±12.0)°、(111.3±11.0)°更高,差异有统计学意义(t=12.346 3、7.851 4,P<0.05),实验组患儿的术后并发症统计率(3.33%)比对参照组患儿相关计算数值(20.00%)更低,差异有统计学意义(χ~2=4.043 1,P<0.05)。结论对肱骨干骨折患儿开展手法复位与弹性髓内钉固定方法联合治疗展示良好临床疗效。Objective To evaluate and study the clinical curative effect of manipulative reduction combined with elastic intramedullary nail fixation in treatment of children with fracture of humeral shaft. Methods 60 cases of children with fracture of humeral shaft admitted and treated in our hospital from Match 2016 to Match 2018 were selected and ran- domly divided into two groups with 30 cases in each, the control group used the manipulative reduction combined with plaster internal fixation, while the experimental group used the manipulative reduction combined with elastic in- tramedullary nail fixation, and the intraoperative bleeding amount, operation time, fracture healing time, shoulder joint activity degree, elbow joint activity degree and statistical rate of postoperative complications were calculated and ana- lyzed. Results The intraoperative bleeding amount, operation time and fracture healing time in the expeimenal group were lower than those in the control group [（94.2±23.0）mL, （56.0±12.2）min, （9.0±l.1）weeks vs （187.0e35.5）mL, （71.3±14.0）min,（12.8±2.0）weeks], the difference was statistically significant （t=12.016 3, 4.512 7, 9.118 5, P〈0.05）, and the shoulder joint activity degree, and elbow joint activity degree in the experimental group were higher than those in the control group[（153.0±14.6）°, （133.0± 10.4）° vs （110.4± 12.0）°, （111.3 ±11.0）°,the difference was statistically sig- nificant （t=12.346 3, 7.851 4, P〈0.05）, and the statistics rate of postoperative complications in the experimental group was lower than that in the control group, the difference was statistically significant （3.33% vs 20.00%）,（χ2=4.043 1, P〈 0.05）. Conclusion The clinical curative effect of manipulative reduction combined with elastic intramedullary nail fixa- tion in treatment of children with fracture of humeral shaft is good.

关 键 词：手法复位 弹性髓内钉 小儿 肱骨干骨折 

分 类 号：R726.8[医药卫生—儿科]