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目的分析不同手术入路治疗小儿肱骨髁骨折的治疗效果。方法 128例小儿肱骨髁骨折患儿随机分为两组,观察组88例经肱三头肌两侧入路,对照组40例采用经肱三头肌舌形瓣入路组,均行切开复位后交叉克氏针内固定,比较评价两组手术的指标。结果经肱三头肌两侧入路观察组肘关节功能恢复优良率90.9%,显著优于对照组的75.0%(P﹤0.05);且观察组手术时间(39.2±13.4)min,术后出血量(53.2±10.7)ml,石膏固定时间(20.1±4.8)d,VAS评分4.6±1.6,均显著优于对照组(P﹤0.05)。结论经肱三头肌两侧入路的手术方法优于肱三头肌舌形瓣入路,在小儿肱骨髁上骨折治疗中具有重要意义。
Objective To analyze the therapeutic effect of different surgical approaches on humeral condylar fractures in children. Methods 128 cases of children with humeral condylar fractures were randomly divided into two groups, the observation group of 88 cases by triceps approach on both sides, the control group of 40 cases by the triceps tongue deformity approach group, were cut After the replacement of cross-Kirschner wire fixation, the two groups of surgical indicators were compared. Results The elbow joint function recovery rate was 90.9% in the observation group on both sides of the triceps approach, which was significantly better than that in the control group (75.0%, P <0.05). The operative time (39.2 ± 13.4) min and postoperative bleeding (53.2 ± 10.7) ml, gypsum fixed time (20.1 ± 4.8) d, VAS score 4.6 ± 1.6, which were significantly better than the control group (P <0.05). Conclusion Surgical approach of triceps brachial approach superior to triceps tongue flaps approach is of great significance in the treatment of supracondylar humerus fractures in children.