摘要
目的探讨儿童肱骨远端全骨骺分离的诊断要点及治疗方法。方法回顾性分析我院2004年1月至2010年12月收治的42例儿童肱骨远端全骨骺分离的患儿;男24例,女18例,年龄4个月～6.5岁(平均2.4岁),按Delee分型:A型8例,B型18例,C型16例;闭合复位石膏固定治疗19例,手术治疗23例;术后2～3周行肘关节功能锻炼。结果本组共42例,随访6个月～5年,平均2.8年;按Docle’s肘关节功能评定标准,闭合复位组优良率为52.6%,手术治疗组优良率为91.3%。结论掌握肱骨远端骨骺发育及损伤的特点,可降低儿童肱骨远端全骨骺分离的误诊率;合理的采用手术治疗,可减少肘内翻的发生,恢复肘关节功能。
Objective To discuss the diagnosis points and treatment of distal humeral epiphysiolysis in children.Methods Forty-two children with total distal humeral epiphysiolysis were diagnosed and treated from January 2004 to December 2010.There were 24 males and 18 females with the ages from 4 months to 6.5 years（mean 2.4 years）.According to Delee＇s classification,8 cases belonged to type A,18 to type B and 16 to type C.Ninteen cases were treated with cast immobilization after close reduction and 23 cases were given operation treatment.Elbow exercise was applied 2 or 3 weeks after operation.Results The patients were available from 6 months to 5 years with an average duration of follow-up study of 2.8 years.According to Docle ＇s elbow function assessment standards： The excellent rate in close reduction group and in operation group was 52.6% and 91.3%,respectively.Conclusion To master the growth and injury characteristics of distal humeral epiphysis in children could reduce the misdiagnosis rate of distal humeral epiphysiolysis.Treatment of operation could reduce the incidence of cubitus varus and restore elbow function.
出处
《遵义医学院学报》
2012年第1期61-63,共3页
Journal of Zunyi Medical University
关键词
肱骨远端骨骺分离
诊断
治疗
Distal humeral epiphysiolysis
diagnosis
treatment
