摘要
目的:研究肘外侧小切口结合外侧平行克氏针治疗小儿Gartland Ⅲ型肱骨髁上骨折的临床疗效。方法:回顾性选取在医院住院的245例小儿Gartland Ⅲ型肱骨髁上骨折患者,根据治疗方法的不同将其分为观察组(125例)和对照组(120例)。对照组采用闭合复位交叉克氏针固定治疗,观察组采用肘外侧小切口结合外侧平行克氏针固定治疗。分析比较两组患儿平均手术时间、肘关节功能恢复时间、手术成功率、骨折愈合时间和术中出血量,以及并发症发生情况,依据肘关节Flynn评分标准对肘关节功能进行评价。结果:观察组患儿平均手术时间为(32.61±13.94)min,肘关节功能恢复时间为(69.51±15.64)d,均比对照组患儿时间短,其差异有统计学意义(t=16.502,t=0.423;P<0.05);手术成功率为98.40%,高于对照组患儿,其差异有统计学意义(x^2=8.715,P<0.05)。两组患儿骨折愈合时间和术中出血量比较差异无统计学意义(t=1.415,t=0.423;P>0.05)。观察组患儿Flynn评分优58例,良62例,优良率为96.00%,高于对照组患儿,其差异有统计学意义(x^2=5.900,P<0.05)。观察组患儿术后总并发症发生率均低于对照组患儿,差异有统计学意义(x^2=9.082,P<0.05)。结论:肘外侧小切口结合外侧平行克氏针治疗小儿Gartland Ⅲ型肱骨髁上骨折成功率高,手术时间短恢复快,且并发症少安全性高。
Objective To study the clinical effect of lateral elbow small incision combined with lateral parallel Kirschner wire for treating supracondylar fracture of humerus of Gartland III type in children. Methods： 245 children with supracondylar fracture of humerus of Gartland III type were enrolled in the retrospective study, and they were divided into observation group （125 cases） and control group （120 cases）. The children of control group received the treatment of closed reduction cross-fixation with Kirschner wire, and the children of observation group received the treatment of lateral elbow small incision combined with lateral parallel Kirschner wire. The average operation time, recovery time of elbow joint function, achievement ratio of operation, healing time of fracture and intraoperative bleeding amount, and the situation of complication of the two groups were researched and analyzed. And then, Flynn clinical function evaluation criteria was used to evaluate the function of elbow joint. Results： The average operation time and recovery time of elbow joint function of observation group （32.61± 13.94 min, 69.51 ± 15.64 min ） were significantly shorter than that of control group （t=16.502, t=0.423, P〈0.05）, respectively. The achievement ratio of operation of observation group （98.40%） was significantly higher than that of control group （x2=8.715, P〈0.05）. And the differences of healing time of fracture and intraoperative bleeding amount between the two group were no significant （t=1.415, t=0.423, P〉0.05）, respectively. The excellent and good rate of observation group （96.00%） that included 58 excellent cases and 62 good cases according to Flynn score was significantly higher than that of control group（x2=5.900, P〈0.05）. Besides, the occurrence ratio of postoperative total complication of observation group was significantly lower than that of control group （x2=9.082, P〈0.05）. Conclusion： The lateral elbow small incision combined with lateral parallel Kirschner wire for treating supracondylar fracture of humerus of Gartland III type in children has series advantages includes higher achievement ratio, shorter operation time, faster recovery time, litter complication and higher safety.
出处
《中国医学装备》
2018年第1期51-54,共4页
China Medical Equipment
基金
河北省衡水市科技计划(2016014033Z)"肘外侧小切口结合外侧平行克氏针治疗小儿GartlandⅢ型肱骨髁上骨折的临床研究"
关键词
肘外侧
克氏针
闭合复位
肱骨髁上骨折
Flynn评分
Lateral elbow
Kirschner wire
Closed reduction
Supracondylar fracture of humerus
Flynn score
