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目的观察肘前肌间隙入路手术治疗儿童GartlandⅢ型肱骨髁上骨折的疗效。方法GartlandⅢ型肱骨髁上骨折儿童36例,随机均分为两组,分别采用肘前肌间隙入路(A组)和肱三头肌舌形瓣入路(B组)克氏针复位固定和石膏外固定。比较两组手术相关资料和临床效果。结果与B组比较,A组手术时间短[(52.4±8.7)min vs.(84.2±11.3)min],术中出血量少[(47.1±9.9)ml vs.(70.5±10.6)ml],术后石膏固定时间短[(24.6±7.8)d vs.(32.2±7.6)d](P<0.01)。A组肘关节功能优良率为94.4%,高于B组的66.7%(P<0.05)。结论肘前肌间隙入路治疗儿童GartlandⅢ型肱骨髁上骨折,手术时间短,术中出血量较少,并可有效促进患儿术后康复。
Objective To observe the curative effect of Gartland Ⅲ supracondylar humerus fractures treated by elbow muscle space approach. Methods Thirty - six children with Gartland type Ⅲ supracondylar humeral fractures were randomly divided into two groups. The anterior cubital space approach (group A) and the triceps brachii tongue flap approach (group B) were used. Gypsum external fixation. The two groups of surgery-related information and clinical effects were compared. Results Compared with group B, the operation time of group A was shorter (52.4 ± 8.7 min vs. 84.2 ± 11.3 min) and the amount of bleeding was less (47.1 ± 9.9 ml vs. 70.5 ± 10.6 ml, Postoperative gypsum fixation time was short [(24.6 ± 7.8) d vs. (32.2 ± 7.6) d] (P <0.01). Elbow function in group A was 94.4%, higher than that in group B (66.7%, P <0.05). Conclusion Anterior cubital approach for the treatment of children with Gartland type Ⅲ supracondylar humerus fractures, the operation time is short, less blood loss, and can effectively promote the rehabilitation of children.