可吸收棒治疗小儿肱骨外髁骨折的临床观察  

Clinical observation of absorbable rod in the treatment of humeral condyle fracture in children

作　　者：黄秀明 肖婷 徐建兵 袁淦峰 叶山山 HUANG Xiuming;XIAO Ting;XU Jianbing;YUAN Ganfeng;YE Shanshan(Ganzhou Maternal and Child Health Hospital,Ganzhou 341000,China)

机构地区：[1]赣州市妇幼保健院,江西赣州341000

出　　处：《现代医院》2020年第3期438-440,共3页Modern Hospitals

基　　金：赣州市指导性科技计划项目(GZ2014ZSF257)。

摘　　要：目的探讨可吸收棒治疗小儿肱骨外髁骨折的临床观察。方法选取2017年2月-2019年1月收治的84例肱骨外髁骨折的患者为研究对象,按照治疗方案的不同平均分为观察组和对照组。对照组实施切开复位克氏针内固定治疗方案,观察组实施可吸收棒内固定治疗,比较两组患者的术后感染率、并发症发生率、术后疗效。结果观察组总感染例数为0例(0.00%),明显低于对照组的7例(16.67%),差异具有统计学意义(P<0.05);两组患者的并发症发生率比较无显著差异(P>0.05);观察组患者术后疗效评定优良的有40例(95.23%),显著高于对照组的27例(64.29%),差异具有统计学意义(P<0.05)。结论对小儿肱骨外髁骨折实施可吸收棒内固定治疗,避免了二次手术创伤,降低了患者伤口的感染率,提高了患者肘关节功能的恢复率,减少了患者的并发症发生率,具有良好的治疗效果,值得在临床上推广。Objective To investigate the clinical observation of absorbable rod in the treatment of humeral condyle fractures in children.Methods A total of 84 patients with humeral epicondylar fractures who were treated from February2017 to January 2019 were selected as the research objects,and they were divided into observation group and control group according to different treatment schemes.The control group was treated with open reduction and Kirschner wire internal fixation,and the observation group was treated with absorbable rod internal fixation.The postoperative infection rate,complication rate,and curative effect of the two groups were compared.Results The total number of infections in the observation group was 0(0.00%),which was significantly lower than that in the control group(16.67%).The difference was statistically significant(P<0.05).Complications occurred in the two groups.There was no significant difference in the rate(P>0.05).There were 40 cases(95.23%)with excellent postoperative evaluation in the observation group,which was significantly higher than 27 cases(64.29%)in the control group.The difference was statistically significant(P<0.05).Conclusion The treatment of humeral external malleolus fracture in children can be treated with absorbable rod internal fixation,avoiding secondary surgical trauma,reducing the infection rate of patients’wounds,improving the recovery rate of elbow joint function and reducing the incidence of complications.Thishas a good therapeutic effect and is worthy of widespread promotion in the clinic.

关 键 词：可吸收棒 小儿肱骨外髁骨折 临床观察 

分 类 号：R683.41[医药卫生—骨科学]