手术时机对儿童肱骨髁上Gartland IIB、III型骨折预后的影响  

Effect of Surgical Timing on Prognosis of Supracondylar Gartland IIB and Type III Fractures of Humerus in Children

作　　者：崔桂勇 金天柱 王剑飞[1] 

机构地区：[1]延安大学附属医院创伤骨科,陕西 延安

出　　处：《临床医学进展》2019年第10期1180-1185,共6页Advances in Clinical Medicine

摘　　要：目的:研究手术时机对儿童肱骨髁上Gartland IIB、III型骨折预后的影响,并分析造成手术延迟的原因。方法:采用回顾性研究延安大学附属医院骨科儿童行手术治疗的肱骨髁上Gartland IIB、III型骨折患者96例,其中,12 h内手术者46例( 0.05),但【12 h组的手术时间、术中出血量、住院时间均优于≥12 h组(P 【0.05)。5例Gartland III型切开复位患儿术后出现尺神经麻痹,1~3个月恢复。术后骨折均骨性愈合,愈合时间2~3个月。≥12 h组中的50例患者中,非医疗原因造成的手术延迟有14例(28%)。结论:术前充分准备,早期手术对儿童肱骨髁上Gartland IIB、III型骨折患者可减少术中出血量、手术时间、住院时间,改善术后肘关节功能,减少并发症发生率。Objective: To study the effect of surgical timing on the prognosis of humeral supracondylar Gartland IIB and type III fractures in children, and to analyze the reasons for the delay in surgery. Methods: A retrospective study was conducted on 96 cases of children with supracondylar Gartland IIB and type III fractures of the humerus who underwent surgical treatment in the Department of Orthopedics of the Affiliated Hospital of Yan’an University. Among them, 46 cases ( 0.05), but the operation time, intraoperative blood loss and hospitalization time of the

关 键 词：肱骨髁上骨折 儿童 手术时机 疗效 

分 类 号：R68[医药卫生—骨科学]