肘前方横切口治疗儿童肱骨髁上骨折  

Treatment of Supracondylar Fractures of the Humerus in Children Through Anterior Transverse Incision of the Elbow

作　　者：李论 康晓鹏[1] 陈昊[1] 徐涛涛 Li Lun;Kang Xiaopeng;Chen Hao;Xu Taotao(Kunming Children's Hospital, Kunming 650228, China)

机构地区：[1]昆明市儿童医院

出　　处：《大理大学学报》2019年第8期23-26,共4页Journal of Dali University

摘　　要：目的:观察肘前方横切口切开复位、内固定术治疗儿童肱骨髁上骨折的临床效果。方法:45例手法难以复位的儿童肱骨髁上骨折患儿,随机分为观察组23例、对照组22例。观察组患者采用肘前方横切口行骨折切开复位、内固定手术,对照组患者采用肘外侧切口行骨折切开复位、内固定手术。比较两组手术时间及术后骨折愈合时间。术后3个月采用Flynn肘关节功能评分评估肘关节功能,采用HSS功能评分评价临床疗效,并进行组间比较。结果:与对照组相比,观察组术后骨折愈合时间相近(P>0.05),但手术时间短(P<0.05),术后3个月肘关节功能恢复情况相近(P>0.05),但临床疗效优良率较高(P<0.05)。结论:与肘关节外侧入路相比,采用肘前方横切口入路治疗儿童肱骨髁上骨折可缩短手术时间,提高临床治疗效果,可成为切开复位、克氏针内固定术治疗儿童肱骨髁上骨折的首选手术入路之一。Objective:To observe the clinical effect of open reduction and internal fixation through anterior transverse approach in the treatment of supracondylar fractures of the humerus in children. Methods:45 children with supracondylar fractures of the humerus who were difficult to be cured by closed reduction were randomly divided into observation group(23 cases)and control group(22 cases). The observation group was treated with open reduction and internal fixation through anterior transverse elbow incision, while the control group was treated with open reduction and internal fixation through lateral elbow incision. The operation time and fracture healing time were compared between the two groups. Flynn elbow function score was used to evaluate elbow function 3 months after operation, HSS function score was used to evaluate clinical efficacy, and comparisons were made between groups. Results:Compared with the control group, the healing time of fracture in the observation group was similar(P > 0.05), but the operation time was shorter (P < 0.05), and the elbow function recovery was similar after 3 months(P > 0.05), but the clinical curative effect was better(P < 0.05). Conclusion:Compared with lateral approach of elbow joint, anterior transverse incision of elbow can shorten the operation time and improve the clinical effects. It can be the first choice of open reduction and Kirschner wire internal fixation for the treatment of supracondylar fractures of the humerus in children.

关 键 词：肱骨髁上骨折 切开复位内固定手术 肘前方入路 手术时间 肘关节功能 

分 类 号：R726[医药卫生—儿科]