| 康 持,周 英,赵仁欢,任 波,邓志强.不同经皮克氏针内固定术治疗儿童GartlandⅡ、Ⅲ型肱骨髁上骨折疗效对比的回顾性分析[J].,2021,(22):4317-4320 |
| 不同经皮克氏针内固定术治疗儿童GartlandⅡ、Ⅲ型肱骨髁上骨折疗效对比的回顾性分析 |
| Retrospective Analysis of Different Percutaneous Kirschner Wire Internal Fixation in the Treatment of Gartland Type Ⅱ and Ⅲ Supracondylar Fractures of Humerus in Children |
| 投稿时间：2021-04-27 修订日期：2021-05-23 |
| DOI：10.13241/j.cnki.pmb.2021.22.024 |
| 中文关键词: 儿童 GartlandⅡ、Ⅲ型 肱骨髁上骨折 克氏针内固定术 切开复位 闭合复位 |
| 英文关键词: Children Gartland type II and III Supracondylar fracture of humerus Kirschner wire internal fixation Open reduction Closed reduction |
| 基金项目:四川省科技厅重点研发项目（2019YFS0541） |
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| 中文摘要: |
| 摘要 目的：对比不同经皮克氏针内固定术治疗GartlandⅡ、Ⅲ型肱骨髁上骨折患儿的治疗效果。方法：回顾性分析2017年3月~2020年3月期间我院收治的90例GartlandⅡ、Ⅲ型肱骨髁上骨折患儿的临床资料，根据治疗方式的不同，将患儿分为A组47例（采用切开复位经皮克氏针内固定术治疗）和B组43例（采用闭合复位经皮克氏针内固定术治疗）。观察两组疗效情况、围术期指标情况及并发症发生率。结果：A组、B组的优良率组间对比无统计学差异（P>0.05）。B组的手术时间、骨折愈合时间、住院时间均短于A组，术中失血量少于A组，组间对比差异有统计学意义（P<0.05）。两组术后并发症发生率比较差异无统计学意义（P>0.05）。结论：GartlandⅡ、Ⅲ型肱骨髁上骨折患儿采用闭合复位或切开复位经皮克氏针内固定术均可获得良好的手术效果，其中闭合复位在缩短手术时间、骨折愈合时间、住院时间和减少术中失血量方面更具备优势。 |
| 英文摘要: |
| ABSTRACT Objective: To compare the therapeutic effects of different percutaneous Kirschner wire internal fixation in the treatment of Gartland type Ⅱ and Ⅲ supracondylar fractures of humerus. Methods: The clinical data of 90 children with Gartland type II and III supracondylar fractures of humerus who were treated in our hospital from March 2017 to March 2020 were retrospectively selected. According to different treatment methods, the children were divided into group A 47 cases (open reduction and percutaneous Kirschner wire internal fixation) and group B 43 cases (closed reduction and percutaneous Kirschner wire internal fixation). The curative effect, perioperative indexes and complication rate of the two groups were observed. Results: There was no significant difference in the excellent and good rate between group A and group B (P>0.05). The operation time, fracture healing time and hospital stay in group B were shorter than those in group A, and the intraoperative blood loss was less than that in group A, there were significant differences between groups(P<0.05). There was no significant difference in the incidence of postoperative complications between the two groups (P>0.05). Conclusion: Whether closed reduction or open reduction and percutaneous Kirschner wire internal fixation are used in children with Gartland type Ⅱ and Ⅲ supracondylar humeral fractures, good surgical results can be obtained. Closed reduction has more advantages in shorten operation time, fracture healing time, hospital stay and reduce intraoperative blood loss. |
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