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目的探讨肘关节内、外侧联合切口治疗小儿肱骨髁上骨折的疗效。方法 2008年7月~2010年12月,本科采用微创肘内、外侧联合切口,直视下复位,行克氏针交叉内固定,石膏外固定来治疗小儿肱骨髁上骨折47例。结果对患者进行10～36个月随访观察,其中随访者43例,脱落4例。随访者骨折均愈合,平均愈合时间为6～12周。参照Flum临床功能评定:优37例,良3例,可3例,优良率达93.02%。结论采用微创肘内、外侧联合切口,直视下复位后行克氏针交叉内固定,石膏外固定来治疗小儿肱骨髁上骨折具有切口小、术中出血少、对组织创伤性小、术野显露清晰、手术操作方便、患者痛苦小等优点。经过对患者后期随访,效果较好,值得临床推广应用。
Objective To investigate the curative effect of combined medial and lateral elbow incision on supracondylar humerus fractures in children. Methods From July 2008 to December 2010, 47 patients with supracondylar fractures of the humerus were treated with Kirschner wire internal fixation and plaster external fixation under minimally invasive internal and external incision. Results The patients were followed up for 10 to 36 months, including 43 cases of follow-up and 4 cases of shedding. All fractures were healed, the average healing time was 6 to 12 weeks. According to Flum clinical function assessment: excellent in 37 cases, good in 3 cases, 3 cases, excellent and good rate of 93.02%. Conclusions Using minimally invasive internal and external incision, under direct vision, Kirschner wire cross internal fixation and plaster external fixation for the treatment of supracondylar humerus fractures in children with small incision, less bleeding, less traumatic tissue surgery Wild show clear, easy operation, patient suffering and so on. After the late follow-up of patients, the effect is better, it is worth clinical application.