摘要
目的观察闭合复位经皮克氏针内固定治疗小儿肱骨髁上骨折的临床效果。方法选取2022年4月至2023年4月南充市中心医院收治的84例肱骨髁上骨折患儿作为研究对象,通过随机数字表法分为两组,每组各42例。对照组给予石膏固定治疗,试验组给予闭合复位经皮克氏针内固定治疗,比较两组手术时间、住院时间、疼痛指标、肘关节功能、术后并发症总发生率。结果试验组住院时间与手术时间均短于对照组(P<0.05);治疗后,试验组疼痛评分低于对照组(P<0.05);试验组肘关节功能优良率(95.24%)高于对照组(80.95%)(P<0.05);试验组术后并发症总发生率低于对照组(P<0.05)。结论闭合复位经皮克氏针内固定治疗小儿肱骨髁上骨折具有手术时间短、疼痛程度低、并发症少的优势,能够促进患儿康复。
Objective To observe the clinical effect of close reduction and internal fixation with Pick’s needle in the treatment of supracondylar humeral fracture in children.Methods A total of 84 children with supracondylar humeral fracture admitted to Nanchong Central Hospital from April 2022 to April 2023 were selected as the study objects.By the random number table method,they were divided into two groups,with 42 cases in each group.The control group was treated with plaster fixation,and the experimental group was treated with close reduction and internal fixation with Pick’s needle.The operation time,length of hospitlization,pain index,elbow joint function,and total incidence of postoperative complications were compared between the two groups.Results The length of hospitlization and operation time of experimental group were shorter than those of control group(P<0.05).After treatment,the pain score of experimental group was lower than that of control group(P<0.05).The excellent and good rate of elbow joint function in the experimental group(95.24%)was higher than that in the control group(80.95%)(P<0.05).The total incidence of postoperative complications in the experimental group was lower than that in the control group(P<0.05).Conclusion Close reduction and internal fixation with Pick’s needle treating supracondylar humeral fracture in children has the advantages of short operation time,low pain,and few com plications,which can prom ote the rehabilitation of children.
作者
淳淼
CHUN Miao(Department of Pediatric Surgery,Nanchong Central Hospital,Sichuan Province,Nanchong 637000,China)
出处
《妇儿健康导刊》
2024年第19期74-77,共4页
JOURNAL OF WOMEN AND CHILDREN'S HEALTH GUIDE
关键词
闭合复位
经皮克氏针内固定
小儿肱骨髁上骨折
Close reduction
Internal fixation via Pick’s needle
Children with supracondylar fracture of humerus
