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目的:探究儿童肘关节骨折以及脱位的数字化摄影(DR)诊断方法。方法:选取DR诊断显示为常见骨折的患儿80例,对患儿的骨折线以及骨化中心的位置、肱桡小头线征、肱骨前线征、泪滴变形和前后脂肪垫征情况进行观察。结果 :患儿肱骨髁上显示骨折有明显的骨折线患儿47例,有肱骨前线征45例,有泪滴变形42例,前后脂肪垫征13例;在外侧髁骨折患儿中有明显骨折线的患儿41例,肱骨小头线征患儿33例,有骨化中心位置和排列顺序改变的患儿12例;在内侧髁骨折患儿中有明显骨折线的患儿14例,其中有前后脂肪垫的患儿8例。结论:在肱骨髁上骨折和外侧髁骨折的临床诊断中主要结合骨折线进行诊断,内侧髁骨折患儿的临床诊断则主要结合骨化中心的位置和排列顺序变化情况进行诊断。
Objective: To explore the digital photography (DR) diagnostic method of children elbow fracture and dislocation. Methods: Eighty children with DR diagnosed as common fractures were selected. The fracture line, the location of ossification center, the lesser head line of brachial-radial head, the front humerus, the deformity of tear and the anteroposterior fat pad were observed. . Results: There were 47 cases with obvious fracture line in the humeral condyles, 45 cases with front humerus, 42 cases with teardrop deformation and 13 cases with anterior and posterior fat pad. There were obvious fractures in the lateral condyle fracture 41 cases of children with a line, 33 cases of humeral head lesion, 12 cases of ossification center position and order of change in children; 14 cases of children with significant fracture line in the medial condyle fracture There are 8 cases of children with fat pad before and after. Conclusion: The clinical diagnosis of supracondylar humeral fractures and lateral condyle fractures is mainly associated with the diagnosis of fractures. The clinical diagnosis of medial condylar fractures is mainly based on the location and arrangement of ossification centers.