闭合复位经皮穿针内固定和闭合复位小夹板外固定治疗儿童闭合性尺桡骨骨折的临床效果观察

Clinical effects observation of closed reduction and percutaneous pin fixation and closed reduction and small splint external fixation on closed ulna and radius fractures in children

目的分析闭合复位经皮穿针内固定和闭合复位小夹板外固定治疗儿童闭合性尺桡骨骨折的临床效果。方法选取我院2014年4月至2017年4月收治的74例闭合性尺桡骨骨折患儿作为研究对象,根据不同治疗方式将其分为研究组(37例)与对照组(37例)。研究组行闭合复位经皮穿针内固定治疗,对照组行闭合复位小夹板外固定联合石膏治疗。比较两组患儿的治疗总有效率与骨折愈合情况。结果研究组的治疗总有效率高于对照组,差异有统计学意义(P<0.05);研究组临床愈合率低于对照组,延迟愈合率高于对照组,差异有统计学意义(P<0.05)。结论闭合复位经皮穿针内固定治疗儿童闭合性尺桡骨骨折的临床效果较好,但闭合复位小夹板外固定联合石膏治疗方式的骨折临床愈合率更高,因此应当根据患儿的患肢损伤程度、骨折部位以及骨折类型选取相应的治疗方式。

Objective To analyze the clinical effects of closed reduction and percutaneous pin fixation and closed reduction and small splint external fixation on closed ulna and radius fractures in children. Methods A total of 74 children with closed ulna and radius fractures treated in our hospital from April 2014 to April 2017 were selected as study subjects and divided into study group（37 cases） and control group（37 cases） according to different treatment methods. The study group was treated with closed reduction and percutaneous pin fixation, the control group was treated with closed reduction and small splint external fixation combined with plaster. The total effective rate of treatment and fracture healing in children of the two groups were compared. Results The total effective rate in the study group was higher than that of the control group, the difference was statistically significant（P〈0.05）. The clinical healing rate in the study group was lower than that of the control group, the delayed healing rate was higher than that of the control group, the differences were statistically significant（P〈0.05）. Conclusion Closed reduction and percutaneous pin fixation in children with closed ulna and radius fractures has a better clinical effect, but the closed reduction and small splint external fixation combined with plaster treatment has a higher clinical healing rate, so it should be based on the degree of limb injury in patients with fracture site to select the appropriate treatment.