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目的研究在成骨不全症儿童下肢骨折中采取保守治疗的远期效果以及并发症。方法对该院自2014年11月—2015年11月期间收治的90例成骨不全症患儿所有资料进行回顾性分析,就诊时有31例已经出现骨骺闭合现象,对31例下肢骨折患儿实施保守治疗,观察成骨不全症儿童骨折次数,分析与记录骨折固定时间、下肢骨骼形态、下肢功能、X线片表现。结果该次该院收治的31例成骨不全症儿童下肢骨折患儿每次骨折均实施保守治疗,骨折后肢中位固定时间为(51.23±5.23)d,大部分骨折患儿均可痊愈出院,患儿畸形呈现出渐进性发展,且随着不断增加患儿骨折次数,会随之加重长骨弯曲畸形程度,骨骼多平面呈现弯曲畸形现象。结论在成骨不全症儿童下肢骨折患儿中实施保守治疗虽然可以愈合,但是保守治疗与反复骨折之后X线片表现以及后期效果比较差,因此需要对患儿实施扎起截骨矫形髓内固定,以便于可以促使患者早期恢复肢体功能,防止影响骨骼发育。
Objective To study the long-term effects and complications of conservative treatment in fractures of lower limbs of children with osteogenesis imperfecta. Methods The data of 90 cases of osteogenesis imperfecta in our hospital from November 2014 to November 2015 were retrospectively analyzed. At the time of diagnosis, epiphyseal occlusion occurred in 31 cases and 31 cases of lower extremity fracture The implementation of conservative treatment, observed the number of fractures of children with osteogenesis imperfecta, analysis and record of fracture fixation time, lower extremity skeletal morphology, lower extremity function, X-ray findings. Results The 31 cases of children with osteogenesis imperfecta in this hospital were treated conservatively in each fracture. The median time of fixation of the hindlimb fractures was (51.23 ± 5.23) days. Most of the fractures were cured and discharged, Children with deformity showed progressive development, and with the increasing number of fractures in children will be accompanied by aggravating the degree of long bone bending deformity, skeletal multi-plane showed bending deformity. Conclusion Although conservative treatment of children with osteogenesis imperfecta in children with lower extremity fractures can heal, there are poor performance of X-ray after conservative treatment and repeated fractures. Therefore, it is necessary to carry out osteotomy for children with osteotomy and orthopedic fixation , In order to facilitate early recovery of limb function in patients with early, to prevent the impact of bone development.