摘要
[目的]比较改良外侧入路与传统外侧入路切开复位治疗儿童肱骨髁上骨折的疗效。[方法]回顾性分析改良外侧入路和外侧入路切开复位治疗儿童肱骨髁上骨折的临床效果。自2006年1月～2010年11月共治疗64例儿童肱骨髁上骨折,有34例采用改良外侧入路和30例采用外侧入路切开复位克氏针固定,随访6～35个月,比较的临床指标包括:手术时间、术中透视所用X线暴露时间、手术后并发症及Flynn肘关节功能评定。[结果]改良外侧入路组手术时间、X线暴露时间小于外侧入路组,两组比较差异有统计学意义(P<0.05)。改良外侧入路组手术并发症发生率为17.6%,包括:克氏针松动移位2例,肘关节活动范围减少4例。外侧入路组手术并发症发生率为43.3%,包括:切口感染1例,克氏针松动移位5例,尺神经损伤2例,肘内翻2例,肘关节活动范围减少3例。比较两组并发症发生率差异有统计学意义(P<0.05)。Flynn肘关节功能评定结果,改良外侧入路组32例满意,而外侧入路组22例满意,两组比较差异有显著性(P<0.05)。[结论]儿童肱骨髁上骨折切开复位时采用改良外侧入路比传统外侧入路能取得更好的临床疗效,值得推广应用。
[Objective] To analyze the clinical effect of the modified lateral approach for operative treatment of the supracondylar fractures of the humerus in children.[Method]We compared the modified lateral approach with lateral approach in treatment of supracondylar fractures of the humerus in children.Sixty-four children with supracondylar fractures of the humerus who were treated from Janaual 2006 to November 2010 and followed up for 6-35 months were divided into two treatment groups,the modified lateral approach（group I） and the lateral approach（group II）.Of all,34 patients were treated with the modified lateral approach and 30 with the lateral approach.The treatment groups were comparable with regard to all demographic and injury variables.[Result]Patients treated with modified lateral approach had shorter operative time,shorter X-ray exprore time and better satisfactory outcome based on Flynn＇s criteria.There were significant differences betweem the two groups.The incidence rate of postoperative complations was 17.6 % in group I and 43.3% in group II.There were significant differences in postoperative complations between the two groups.[Conclusion]The modified lateral approach for treatment of the supracondylar fractures of the humerus in children can achieve excellent clinical results.
出处
《中国矫形外科杂志》
CAS
CSCD
北大核心
2011年第20期1677-1681,共5页
Orthopedic Journal of China
基金
安徽省卫生厅立项资助项目(编号:09B110)
关键词
手术入路
肱骨髁上骨折
儿童
并发症
surgical approach
supracondylar fractures of the humerus
children
complication
