闭合复位经皮克氏针内固定治疗小儿肱骨髁上骨折的临床研究  

Clinical Study of Closed Reduction and Percutaneous Kirschner Wire Fixation in Treatment of Children with Supracondylar Fracture of Humerus

作　　者：黄包德[1] 张光磊[1] HUANG Baode;ZHANG Guanglei(Quanzhou Children’s Hospital,Quanzhou 362000,China)

机构地区：[1]泉州市儿童医院,福建泉州362000

出　　处：《中外医学研究》2020年第32期114-116,共3页CHINESE AND FOREIGN MEDICAL RESEARCH

摘　　要：目的:分析闭合复位经皮克氏针内固定治疗小儿肱骨髁上骨折的临床效果。方法:回顾性分析本院2017年1月-2019年10月收治的82例肱骨髁上骨折患儿的临床资料,按手术方法分为切开组(n=32)和闭合组(n=50),切开组采用切开复位克氏针内固定术,闭合组采用闭合复位经皮克氏针内固定术。比较两组肘关节功能恢复情况、临床相关指标及并发症发生率。结果:闭合组肘关节功能恢复优良率为96.0%,高于切开组的75.0%;闭合组手术时间、术中失血量、住院时间及骨折愈合时间均优于切开组;闭合组并发症总发生率为6.0%,低于切开组的28.13%,差异有统计学意义(P<0.05)。结论:闭合复位经皮克氏针内固定治疗小儿肱骨髁上骨折效果显著,复位维持确切,固定牢靠,安全有效。Objective:To analyze the clinical effect of closed reduction and percutaneous Kirschner wire fixation for children with supracondylar fracture of humerus.Method:The clinical data of 82 children with supracondylar fracture of humerus admitted to our hospital from January 2017 to October 2019 were retrospectively analyzed.According to the operation methods,the patients were divided into the open group(n=32)and the closed group(n=50).The open reduction and Kirschner wire internal fixation was used in the open group;the closed reduction and percutaneous Kirschner wire fixation was used in the closed group.Recovery of elbow joint function,clinically relevant indicators and incidence of complications were compared between the two groups.Result:The excellent and good rate of recovery of elbow joint function of the closed group was 96.0%,which was higher than 75.0%of the open group;the operation time,intraoperative blood loss,hospitalization time and fracture healing time in the closed group were all better than those in the open group;and the incidence of complications was 6.0%,which was lower than 28.13%in the open group,the differences were statistically significant(P<0.05).Conclusion:Closed reduction and percutaneous Kirschner wire fixation is effective in the treatment of children with supracondylar fracture of humerus,reset to maintain exact,fixed firm,safe and effective.

关 键 词：闭合复位经皮克氏针内固定 切开复位克氏针内固定 肱骨髁上骨折 

分 类 号：R726.8[医药卫生—儿科]