治疗小儿肱骨髁上骨折微创手术内固定的效果

Fracture Fixation Effects of Minimally Invasive Operation in Thetreatment of Pediatric Supracondylar Humerus

目的探讨微创手术内固定治疗小儿肱骨髁上骨折的临床效果。方法对接收治疗的80例肱骨髁上骨折患儿资料进行分析,根据患儿入院时间顺序分为两组。对照组采用常规方法治疗,实验组采用微创手术内固定进行治疗,比较两组患儿治疗效果。结果实验组治疗总有效率为95%优于对照组(85%)(P<0.05);实验组对治疗满意度为95%高于对照组(P<0.05);实验组手术时间为(71.9±12.6 min)多于对照组(41.3±10.3);实验组术中出血量为(20.6±5.2 mL)、切口大小为(20.9±1.1 mm)、患儿治疗后住院时间为(2.6±0.4天)且患儿手术后并发症为(1(2.5%))均优于对照组(P<0.05)。结论微创手术内固定治疗小儿肱骨髁上骨折效果较好,值得推广使用。

Objective To explore the clinical effect of minimally invasive operationof fracture internal fixation in the treatment of pediatric supracondylar humerus .Methods 80 cases of humerus fracture received treatment in our hospital wereanalyzed , according to the time sequence in hospital were divided into two groups .The control group were given con-ventional treatment , the experimentalgroup of minimally invasive operation were treated with internal fixation , the treat-ment effects were compared between the two groups .Results In the experimental group , the total effective rate was 95%, better than the control group （85%） （P〈0.05）;the experiment group in our hospital treatment satisfaction was 95%higher than that of the control group （ P〈0.05 ）; the experiment group operation time was （ 71.9 ±12.6 min） than that of control group （41.3 ±10.3）; the experiment group operation hemorrhage was （20.6 ±5.2 mL）, incision size was （20.9 ±1.1 mm）, after treatment the hospitalization time was （2.6 ±0.4 days） and the complications after operation for children （1 （2.5%）） were better than the control group （P〈0.05）.Conclusions The good effect of minimally invasive operation internal fixation for treatment of supracondylar fracture of humerus in children , is worthy to be popularized.