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[1]沈海,劉昕,彭玉蘭,等.復(fù)位架牽引下手法復(fù)位經(jīng)皮穿針內(nèi)固定治療 兒童肱骨髁上骨折的臨床研究[J].中醫(yī)正骨,2015,27(10):1-4.
　SHEN Hai,LIU Xin,PENG Yulan,et al.Clinical study on reduction frame traction combined with manipulative reduction and percutaneous Kirschner wire internal fixation for treatment of humeral supracondylar fractures in children[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2015,27(10):1-4.
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復(fù)位架牽引下手法復(fù)位經(jīng)皮穿針內(nèi)固定治療 兒童肱骨髁上骨折的臨床研究()
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《中醫(yī)正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第27卷
期數(shù):
2015年10期
頁碼:
1-4
欄目:
臨床研究
出版日期:
2015-10-30

文章信息/Info

Title:
Clinical study on reduction frame traction combined with manipulative reduction and percutaneous Kirschner wire internal fixation for treatment of humeral supracondylar fractures in children
作者:
沈海; 劉昕; 彭玉蘭; 樂勁濤; 王英; 周英; 鄧志強(qiáng)
四川省骨科醫(yī)院,四川 成都 610041
Author(s):
SHEN Hai; LIU Xin; PENG Yulan; YUE Jintao; WANG Ying; ZHOU Ying; DENG Zhiqiang
Sichuan Orthopaedic Hospital,Chengdu 610041,Sichuan,China
關(guān)鍵詞:
肱骨骨折;  正骨手法;  牽引術(shù);  治療; 臨床研究性
Keywords:
humeral fractures;  bone setting manipulation;  traction;  therapies; investigational
摘要:
目的:觀察復(fù)位架牽引下手法復(fù)位經(jīng)皮穿針內(nèi)固定治療兒童肱骨髁上骨折的臨床療效。方法:將符合要求的60例肱骨髁上骨折患者隨機(jī)分為復(fù)位架組和手法復(fù)位組,每組30例。復(fù)位架組采用復(fù)位架牽引下手法復(fù)位經(jīng)皮穿針內(nèi)固定治療,手法復(fù)位組采用手法復(fù)位經(jīng)皮穿針內(nèi)固定治療。比較2組患者的手術(shù)時(shí)間、住院時(shí)間、肘內(nèi)翻發(fā)生率及臨床療效。臨床療效評價(jià)采用《中醫(yī)病證診斷療效標(biāo)準(zhǔn)》中肱骨髁上骨折的療效標(biāo)準(zhǔn)。結(jié)果:復(fù)位架組的手術(shù)時(shí)間和住院時(shí)間均比手法復(fù)位組短[(33.73±10.33)min,(40.55±9.44)min,t=9.223,P=0.000;(13.95±2.96)d,(17.75±4.10)d,t=1.425,P=0.037]。術(shù)后6周時(shí)共有3例患者失訪(復(fù)位架組1例、手法復(fù)位組2例),復(fù)位架組9例發(fā)生肘內(nèi)翻、手法復(fù)位組15例發(fā)生肘內(nèi)翻,2組患者肘內(nèi)翻的發(fā)生率比較,差異無統(tǒng)計(jì)學(xué)意義(χ2=2.968,P=0.085); 復(fù)位架組治愈20例、好轉(zhuǎn)9例,手法復(fù)位組治愈13例、好轉(zhuǎn)15例,2組患者的臨床療效比較,差異無統(tǒng)計(jì)學(xué)意義(Z=-1.708,P=0.088)。結(jié)論:復(fù)位架牽引下手法復(fù)位經(jīng)皮穿針內(nèi)固定術(shù)治療兒童肱骨髁上骨折療效確切,并可有效縮短手術(shù)時(shí)間及住院時(shí)間,值得臨床推廣應(yīng)用。
Abstract:
Objective:To observe the clinical curative effect of reduction frame traction combined with manipulative reduction and percutaneous Kirschner wire internal fixation in the treatment of humeral supracondylar fractures in children.Methods:Sixty patients with humeral supracondylar fractures enrolled in the study were randomly divided into reduction frame group and manipulative reduction group,30 cases in each group.The patients in reduction frame group were treated with reduction frame traction combined with manipulative reduction and percutaneous Kirschner wire internal fixation,while the others in manipulative reduction group were treated with manipulative reduction combined with percutaneous Kirschner wire internal fixation.The operative time,hospital stay,incidence rate of cubitus varus and clinical effects were compared between the 2 groups,and the curative effects were evaluated according to the therapeutic effect criterion of humeral supracondylar fracture which was extracted from Standard for diagnosis and therapeutic effectiveness evaluation of traditional Chinese medicine syndromes.Results:The operative time and hospital stay of reduction were shorter in reduction frame group compared to manipulative reduction group(33.73+/-10.33 vs 40.55+/-9.44 min,t=9.223,P=0.000; 13.95+/-2.96 vs 17.75+/-4.10 days,t=1.425,P=0.037).One patient in reduction frame group and 2 patients in manipulative reduction group lost to follow-up 6 weeks after the operation,and cubitus varus were found in reduction frame group(9 cases)and manipulative reduction group(15 cases).There was no statistical difference in the incidence rate of cubitus varus between the 2 groups(χ2=2.968,P=0.085).Twenty patients obtained an excellent result and 9 good in the reduction frame group,while 13 patients obtained an excellent result and 15 good in the manipulative reduction group,and there was no statistical difference in the clinical curative effect between the 2 groups(Z=-1.708,P=0.088).Conclusion:The clinical curative effect of reduction frame traction combined with manipulative reduction and percutaneous Kirschner wire internal fixation is definite for treatment of humeral supracondylar fractures in children,and the operative time and hospital stay can be shortened effectivity,so it is worthy of popularizing in clinic.

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備注/Memo

備注/Memo:
2015-07-22收稿 2015-08-31修回
基金項(xiàng)目:四川省中醫(yī)藥管理局科研基金資助項(xiàng)目(2011SZ0251)
通訊作者:沈海 E-mail:[email protected]
更新日期/Last Update: 2015-10-30