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目的:探讨分析2种不同手术方式治疗小儿肱骨髁上骨折的临床效果并作对比较。方法:选取2014年1月1日至2014年12月31日期间收治入院的小儿肱骨髁上骨折60例为本次研究对象,然后通过盲选方法平均分为研究组与对照组。两组患者均施行切开复位后克氏针交叉内固定手术,其中,对照组采用经肱三头肌舌形瓣入路组,研究组采用经肱三头肌两侧入路。比较两组的临床治疗效果。结果:两组小儿肱骨髁上骨折患儿的临床疗效比较,研究组明显优于参照组,P<0.05;两组小儿肱骨髁上骨折患儿的手术相关指标比较,研究组明显优于参照组,P<0.05。结论:应用经肱三头肌两侧入路治疗小儿肱骨髁上骨折的临床效果比经肱三头肌舌形瓣入路组治疗小儿肱骨髁上骨折的临床效果更好,值得临床推广应用。
Objective: To investigate and compare the clinical effects of two different surgical approaches in the treatment of supracondylar humerus fractures in children. Methods: Sixty cases of supracondylar humerus fractures admitted to our hospital from January 1, 2014 to December 31, 2014 were selected as the study subjects and divided into study group and control group by blind selection method. Two groups of patients were performed open reduction and Kirschner wire after internal fixation surgery, in which the control group by triceps tongue flap approach group, the study group by triceps approach on both sides. The clinical effects of the two groups were compared. Results: The clinical efficacy of two groups of children with supracondylar humerus fractures, the study group was significantly better than the reference group, P <0.05; two groups of children with supracondylar humerus surgery related indicators, the study group was significantly better than the reference group , P <0.05. Conclusion: The clinical effect of triceps supracondylar humerus fractures treated by both sides of triceps brachial approach is better than that of pedicle humeral supracondylar fractures treated with triceps brachii tongue flap approach. It is worthy of clinical application.