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目的:对比研究小儿尺桡骨闭合性骨折应用克式针内固定与手法闭合复位治疗的临床疗效。方法:选取2014年1月-2015年1月,我院收治的小儿尺桡骨闭合性骨折66例,随机分为观察组33例和对照组33例。观察组应用克式针内固定治疗,对照组应用手法闭合复位治疗,比较两组的临床疗效。结果:观察组的疗效优良率为93.94%,显著高于对照组的69.70%(P<0.05);观察组的骨折愈合时间较对照组明显缩短(P<0.05),骨折愈合率达96.97%,明显优于对照组的78.79%(P<0.05)。结论:克式针内固定治疗小儿尺桡骨闭合性骨折疗效优于手法闭合复位,具有康复快、创伤小和并发症少等优点,值得推广应用。
Objective: To compare the clinical curative effect of closed reduction with pedicle screw fixation and manual manipulation in children with radius and ulna closed fractures. Methods: From January 2014 to January 2015, 66 cases of ulna and radius closed fractures in our hospital were randomly divided into observation group (33 cases) and control group (33 cases). The observation group was treated with Kirschner wire internal fixation, and the control group was treated by closed reduction and reduction. The clinical efficacy was compared between the two groups. Results: The excellent and good rate of the observation group was 93.94%, which was significantly higher than 69.70% of the control group (P <0.05). The healing time of the observation group was significantly shorter than that of the control group (P <0.05) Significantly better than 78.79% of the control group (P <0.05). Conclusion: The treatment of pediatric radial-bone closed fractures is better than closed reduction by hand. It has the advantages of quick recovery, less trauma and fewer complications, which is worth popularizing and applying.