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目的 45例儿童肱骨课上骨折的手术治疗探讨,以及与非手术治疗的比对。方法将45例儿童分成三组,第一组采取传统的闭合复位;第二组采取肘外侧入口;第三组采取肘外侧与肘内侧切口并用的方式治疗。根据患者的后期恢复对采取的治疗方式进行评估。结果第二组的治疗效果明显好于其他两组。结论肱骨髁上骨折入路的选择对于肌肉以及关节囊的保护有着至关重要的作用,并且手术治疗的效果明显好于手法复位治疗。
Objective To investigate the surgical treatment of 45 cases of humerus fractures in children and to compare with the non-surgical treatment. Methods 45 children were divided into three groups, the first group to take the traditional closed reduction; the second group to take the elbow lateral entrance; the third group to take the elbow lateral and elbow medial incision and the use of treatment. According to the patient’s post-recovery assessment of the treatment taken. The results of the second group of treatment was significantly better than the other two groups. Conclusion The choice of supracondylar fractures of the humerus plays a crucial role in the protection of muscles and articular capsule, and the effect of surgical treatment is obviously better than manual reduction.