关节造影在切开复位术治疗儿童 BadoⅠ型陈旧性孟氏骨折中的应用  

Application of arthrography in open reduction for the treatment of chronic Monteggia fracture type Bado Ⅰ in children

作　　者：王军建 郭占豪 季泽娟[1] 孙克明 Wang Junjian;Guo Zhanhao;Ji Zejuan(Children's Hospital Affiliated of Zhengzhou University,Zhengzhou 450018,China)

机构地区：[1]郑州大学附属儿童医院,河南郑州450018

出　　处：《华北理工大学学报（医学版）》2024年第3期195-199,共5页Journal of North China University of Science and Technology：Health Sciences Edition

基　　金：河南省医学科技攻关联合共建项目(编号:LHGJ20220714)。

摘　　要：目的 探讨关节造影在切开复位治疗儿童BadoⅠ型陈旧性孟氏骨折中的应用价值。方法 选取2019年2月~2023年2月郑州大学附属儿童医院收治的30例BadoⅠ型陈旧性孟氏骨折患儿,根据手术方法分为观察组(关节造影辅助切开复位治疗)和对照组(直接切开复位)。观察两组围手术期指标、并发症发生情况、肘关节屈伸度和前臂旋转活动度及Kim功能评分。结果 观察组手术时间、骨折愈合时间均短于对照组(P<0.05),术中出血量低于对照组(P<0.05);肘关节屈伸及前臂旋转活动度、Kim疗效优良率均高于对照组(P<0.05)。并发症发生率两组无显著区别(P>0.05)。结论 对于儿童BadoⅠ型陈旧性孟氏骨折,采用关节造影辅助切开复位治疗,可以清楚显示桡骨与肱骨外髁关节面及两者间位置关系,可更好改善围术期指标和肘关节功能,提升疗效,且安全性较高。Objective To explore the application value of arthrography in open reduction for the treatment of chronic Monteggia fracture type Bado I in children.Methods A retrospective analysis was conducted on 30 children with chronic Monteggia fracture type Bado I admitted to the Children's Hospital of Zhengzhou University from February 2019 to February 2023.The patients were divided into an observation group(arthrography-assisted open reduction)and a control group(direct open reduction)based on the surgical method.Perioperative indicators,complications,elbow flexion-extension range,forearm rotation range,and Kim functional scores were observed in both groups.Results The operation time and fracture healing time in the observation group were shorter than those in the control group(P<0.05),and the intraoperative blood loss was lower than that in the control group(P<0.05).The elbow flexion-extension range,forearm rotation range,and excellent and good rate of Kim efficacy were higher in the observation group than in the control group(P<0.05).There was no significant difference in the incidence of complications between the two groups(P>0.05).Conclusion For children with chronic Monteggia fracture type Bado I,arthrography-assisted open reduction can clearly show the articular surface between the radius and the lateral condyle of the humerus and the positional relationship between them,which can better improve perioperative indicators and elbow function,enhance therapeutic efficacy,and have a high degree of safety.

关 键 词：陈旧性孟氏骨折 BadoⅠ型 关节造影 切开复位 儿童 

分 类 号：R683.41[医药卫生—骨科学]