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手法复位为主结合中药内服、熏蒸治疗儿童肱骨髁上骨折的临床研究

Clinical Study on the Treatment of Humeral Supracondylar Fracture in Children with Manual Reduction Combined with Oral Medicinal Herbs and Fumigation
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摘要 目的观察手法复位为主结合中药内服、熏蒸治疗儿童肱骨髁上骨折的临床疗效。方法80例肱骨髁上骨折患儿,其中Gartland Ⅰ型和Gartland Ⅱ型采用手法复位、石膏外固定;GartlandⅢ型采用经皮克氏针内固定,全部患儿均给予中药内服及熏蒸治疗。结果80例肱骨髁上骨折患儿骨折全部愈合,临床功能检查,优39例(48.75%),良39例(48.75%),可2例(2.50%)。无1例出现Volkmann挛缩和肘内翻畸形者。结论手法复位为主结合中药内服、熏蒸治疗儿童肱骨髁上骨折有效。 Objective To observe the clinical effect of treating humeral supracondylar fracture in children with manual reduction combined with oral medicinal herbs and fumigation. Methods 80 children with humeral supracondylar fracture were involved in clinical observation. Patients with Garfland Type Ⅰ and Type Ⅱ were selected and treated with manual reduction and plaster external fixation. Gartland Type Ⅲ cases were selected and treated with Kirschner-wire transfixion. All of patients were treated with oral medicinal herbs and fumigation. Results All children with humeral supracondylar fracture recovered. Based on the clinical function test,39 (48.75%) cases had excellent effects, 39 (48.75%) cases had good effects, and 2 (2.50%)eases had fair effects. No Volkmann contracture or cubitus varus deformity occurred. Conclusion The treatment of humeral supracondylar fracture in children with manual reduction combined with oral medicinal herbs and fumigation has a good effect.
作者 兰海 刘博
出处 《国际中医中药杂志》 2009年第1期53-53,56,共2页 International Journal of Traditional Chinese Medicine
关键词 肱骨髁上骨折 儿童 手法复位 中药疗法 Humeral supracondylar fracture Children Manual reduction Chinese herbs therapy
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参考文献4

  • 1Green NE. Fractures of the distal humerus:skeletal trauma in children. Philadelphia:WB Saunders Co, 1994: 216-220.
  • 2Gartland JJ. Management of supracondylar fractures of the humerus in children. Surg Gynecol Obstet, 1959, 109 (2): 145-154.
  • 3Flynn JC, Mantthews JG, Benoit RL. Blind pinning of displaced supracondylar fractures of the humerus in children: sixteen years' experience with long term follow-up. J Bone Joint Surg (Am), 1974, 56 (2): 263-272.
  • 4刘自贵.儿童肱骨髁上骨折经皮克氏针内固定后致尺神经麻痹14例分析[J].中华骨科杂志,2002,22(4):251-251. 被引量:95

二级参考文献1

  • 1BlancoJS.Ulnarnervepalsiesafterpercu-taneouscross-pinningofsupracondylarfrac-turesinchildrenselbows[].JPediatrOrthop.1998

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