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目的:探讨微创穿针治疗儿童肱骨髁上骨折的临床疗效。方法:选择2014年1月-2016年1月收治的儿童肱骨踝上骨折患儿60例,根据治疗方式的不同分为两组,观察组采用微创穿针固定治疗,对照组采用切开固定治疗,对比两组临床疗效。结果:(1)观察组的手术时间(31.5±2.5)min、术中出血量(14.2±2.4)ml,对照组的手术时间(98.5±12.5)min、术中出血量(70.3±10.3)ml(P<0.05);(2)观察组36例,优20例,良14例,治疗优良率为94.5%;对照组24例,优7例,良12例,治疗优良率为79.2%(p<0.05);(3)观察组患者Barthel评分(89.3±9.5)分,对照组患者Barthel评分(78.1±9.1)分(P<0.05)。观察组患者VAS疼痛评分(5.1±0.9)分,对照组患者VAS疼痛评分(7.0±1.5)分(P<0.05)。结论:微创穿针治疗儿童肱骨髁上骨折效果良好,值得推广。
Objective: To investigate the clinical effect of minimally invasive treatment of supracondylar humerus fractures in children. Methods: Sixty children with humeral ankle fractures admitted in our hospital from January 2014 to January 2016 were divided into two groups according to the different treatment methods. The observation group was treated with minimally invasive puncture and the control group was treated with incision fixation Treatment, compared two groups of clinical curative effect. RESULTS: The operation time (31.5 ± 2.5) min, blood loss (14.2 ± 2.4) ml in the observation group, operation time in the control group (98.5 ± 12.5) min and blood loss in operation (70.3 ± 10.3) ml (P <0.05); (2) 36 cases in the observation group, excellent in 20 cases and good in 14 cases, the excellent and good rate was 94.5%; in the control group, 24 cases were excellent in 7 cases and good in 12 cases <0.05). (3) Barthel score (89.3 ± 9.5) in the observation group and Barthel score (78.1 ± 9.1) in the control group (P <0.05). VAS pain score (5.1 ± 0.9) in the observation group and VAS pain score (7.0 ± 1.5) in the control group (P <0.05). Conclusion: The minimally invasive treatment of supracondylar humerus fractures in children with good results, it is worth promoting.