摘要
目的：探讨两种不同手术入路对儿童肱骨髁上骨折术后恢复及疗效评价的影响。方法回顾萧山中医院2013年1月—2014年6月收治的肱骨髁上骨折患儿30例,均为伸直型,将其分为两组,A组（15例）采用肘外侧入路,B组（15例）采用肘内外侧联合手术入路进行治疗,记录显露时间、手术时间并采用2000年中华医学会手外科学会上肢部分功能评定标准评分。结果显露时间A组（61.21±3.10）min,B组（52.20±2.51）min,手术时间A组（20.35±3.70）,B组（16.32±3.25）,A组的显露时间、手术时间均大于B组（P〈0.05）。功能评分A组（7∽8分）7例,（5∽6分）6例,（3∽4分）2例,优良率86.67%,B组（7∽8分）9例,（5∽6分）5例,（3∽4分）1例,优良率93.33%,功能评价A组低于B组（P〈0.05）。结论采用肘外侧入路与肘内外侧联合入路相比,内外侧联合入路的术后恢复及疗效评价均明显优于肘外侧入路。
Objective： To investigate two different surgical approaches for children on the humerus condyle fracture restore and curative effect evaluation of influence. Methods： Retrospective xiaoshan hospital in January of 2013 – June of 2014 on the condyle of the humerus fractures were 30 cases of children,are straight type,it can be divided into two groups,group A（ 15 cases） with elbow lateral approach,group B（ n = 15） using elbow inside and outside combined surgical approach to treatment,records show time,operation time and USES the luxury institute of Chinese medical association in 2000 upper part function evaluation standard score. Results Show time（ 61. 2 ± 3. 10） min group A,group B（ 52. 20 ± 2. 51） min,operation time（ 20. 35 ± 3. 70） of group A,group B（ 16. 32 ± 3. 25）,show time,operation time of group A were greater than group B（ P〈0. 05）. Functional score in group A（ 7 ∽ 8） 7 cases,6 cases（ 5 ∽ 6）,（ 3 ∽ 4）,2 cases was 86. 67%,and group B（ 7 ∽ 8） 9 cases,5 cases（ 5 ∽ 6）,（ 3 ∽ 4）,1 case was 93. 33%,the function evaluation in group A than group B（ P〈0. 05）. Conclusion The elbow lateral approach compared with elbow inside and outside into the road,inside and outside the postoperative recovery of joint,and the evaluation of the curative effect is better than the lateral approach.
出处
《江西中医药大学学报》
2015年第5期47-48,54,共3页
Journal of Jiangxi University of Chinese Medicine
关键词
儿童
肱骨髁上骨折
疗效评价
Children
Humerus Condyle Fracture
Curative Effect Evaluation
