摘要
目的 比较闭合复位弹性髓内钉内固定和切开复位克氏针内固定治疗小儿前臂双骨折的临床效果.方法 选择2011年9月-2014年5月在蚌医一附院骨科应用闭合复位弹性髓内钉及切开复位克氏针内固定治疗的儿童前臂双骨折患儿62例,分为2组,其中观察组31例采用闭合复位弹性髓内钉治疗,对照组31例采用切开复位克氏针内固定治疗.对2组患儿手术时间、石膏固定时间、住院时间、有无并发症的发生进行对比,患肢的功能恢复情况进行随访,随访时间6～10个月,平均7.5个月.对相关数据进行统计学比较分析.结果 观察组患儿的手术时间、石膏固定时间及住院时间明显短于对照组（P＜0.05）.根据Berton评分标准,观察组的骨折愈合优良率93.5％,对照组的骨折愈合优良率83.9％,观察组优于对照组（P＜0.05）.观察组术后的并发症发生率与对照组相比,差异无统计学意义.结论 弹性髓内钉对治疗儿童前臂双骨折具有创伤小、手术时间短、骨折愈合率高,并且利于患肢功能恢复等优点,值得临床推广.
Objective To compare the clinical efficacy of closed reduction elastic stable intramedullary nail fixation and open reduction Kirschner wire pinning fixation in the treatment of pediatric both bone forearm fractures. Methods The closed reduction elastic stable intramedullary nail and open reduction Kirschner wire pinning internal fixation were applied to 62 pediatric cases with double fracture of ulna and radius from September 2011 to May 2014 in our hospital. 62 patients were randomly divided into the observation group （31 cases） and control group （31 cases）. The observation group received closed reduction elastic intramedullary nail treatment,while control group received open reduction Kirschner wire pinning fixation. The operation time, plaster fixation time, hospital stay and incidence of complications of both groups were ob- served and compared. All cases were followed up for 6 to 10 months（ an average of 7.5 months） to observe the recovery of limb function. The data was analyzed statistically. Results The operation time, plaster fixation time, hospital stays of the observation group was significantly shorter than those of the control group （P 〈 0.05 ） , and the fracture healing was better than that in control group （P 〈 0.05 ） by Berton criterion. There was no statistical difference between two groups in the incidence of complications. Conclusion Closed reduction elastic stable intramedullary nail in the treatment of pediatric ra- dius and ulna fractures has little trauma, shorter operative time, better fracture healing, and also beneficial to limb func- tional recovery, worthy of promotion in clinical practice.
出处
《中华全科医学》
2015年第10期1614-1616,共3页
Chinese Journal of General Practice
关键词
儿童
尺桡骨双骨折
弹性髓内钉
克氏针固定
Children
Both radius and ulna fractures
Elastic stable intramedullary nail
Kirschner wire fixation
