摘要
目的:探讨克氏针和空心钉用于胫骨远端骨骺骨折患儿切开复位内固定手术治疗的临床研究。方法:选取本院2017年1月~2018年12月收治的83例胫骨远端骨骺骨折患儿,随机分为对照组与观察组。二者采用切开复位内固定手术治疗,对照组使用空心钉固定,观察组使用克氏针固定。术后安排随访,记录并发症发生率。结果:观察组优良率高于对照组、手术时间、术中出血量、住院时间少于对照组;并发症发生率相当。结论:胫骨远端骨骺骨折患儿的切开复位内固定治疗上,使用克氏针的疗效更为显著,对血供影响小,对软组织损伤轻等多重优势,安全高效,值得临床推广。
Objective To explore the clinical study of Kirschner wire and hollow nail in open reduction and internal fixation for patients with distal tibial epiphyseal fracture.Methods A total of 83 children with distal tibial epiphyseal fractures admitted to our hospital from January 2017 to December 2018 were selected and randomly divided into a control group and an observation group.Both were treated with open reduction and internal fixation,the control group was treated with hollow nails,and the observation group was treated with Kirschner wires.Results The excellent and good rate of the observation group was higher than that of the control group,the operation time,intraoperative blood loss,and hospitalization time were less than that of the control group;the incidence of adverse reactions was similar.Conclusion In the open reduction and fixation treatment of children with distal tibial epiphyseal fractures,Kirschner wire is more effective,has a small impact on blood supply,and has multiple advantages such as mild soft tissue damage.It is safe and efficient,and is worthy of clinical promotion.
作者
彭玉兰
周英
刘昕
叶家军
邓志强
Peng Yu-lan;Zhou Ying;Liu Xin;Ye Jia-jun;Deng Zhi-qiang(Department of Orthopedics,Sichuan Provincial Orthopedics Hospital,Chengdu 610000,China)
出处
《湖南师范大学学报（医学版）》
2020年第6期132-135,共4页
Journal of Hunan Normal University(Medical Sciences)
基金
国家中医药管理局中医药标准化项目(SATCM-2015-BZ(200))
关键词
克氏针
空心钉
胫骨远端骨骺骨折
切开复位
kirschner wire
hollow nail
distal tibia epiphyseal fracture
open reduction
