摘要
目的:探讨正后侧和外侧入路治疗肱骨髁上骨折患儿的治疗效果。方法:选择我院2013年1月至2015年10月诊治的64例肱骨髁上骨折患儿,随机分为观察组34例和对照组30例,观察组行外侧入路治疗,对照组行正后侧入路治疗。观察记录两组患儿切口显露时间、切口闭合时间和手术时间,统计随访后两组患儿的肘关节功能评定情况。结果:观察组切口显露、切口闭合和手术时间与对照组比较均明显缩短(P<0.05);观察组肘关节功能评定优良率(94.12%)明显高于对照组(50.00%),两组比较有统计学意义(P<0.05)。结论:外侧入路能有效治疗肱骨髁上骨折,缩短切口显露时间、切口闭合时间和手术时间,提高肘关节功能评定优良率。
Objective： To explore the clinical effect of positive posterior and lateral approach in treating humorous supracondylar fractures in children. Methods：64 children with humorous fractures admitted to our hospital from January 2013 to October 2015 on the diagnosis and treatment were randomly divided into two groups, 34 cases in the observation group, and 30 cases in the control group. Observation group were treated by the lateral approach, and the control group were treated by the positive posterior approach. The times of incision revelation, incision close and operation were recorded and the elbow function assessment of follow-up visit were observed in the two groups and analyzed. Results： Compared with the control group,the times of incision revelation, incision close and operation in observation group was significantly shorter（P 0.05）. The assessment excellent rate of elbow function in observer group was 94.12%, significantly higher than 50.00% of control group, the difference was statistically significant（P 0.05）. Conclusions：Lateral approach can be effective in treating children with humorous supracondylar fractures, shorten incision revealed time, operation time, speed up the incision closed, improve elbow function assessment excellent rate.
出处
《华夏医学》
CAS
2016年第2期24-26,共3页
Acta Medicinae Sinica
关键词
正后侧入路
外侧入路
肱骨髁上骨折
肘关节
positive posterior approach
lateral approach
humorous supracondylar fracture
elbow
