克氏针内固定术治疗小儿肱骨髁上骨折的临床效果

Clinical effect of Kirschner wire internal fixation in the treatment of supracondylar fracture of the humerus in children

目的研究克氏针内固定术治疗小儿肱骨髁上骨折的临床效果。方法将60例肱骨髁上骨折患儿按照随机数表法分为观察组和对照组,每组30例,观察组实施闭合复位克氏针内固定术治疗,对照组实施切开复位克氏针内固定术治疗。比较两组临床疗效。结果观察组手术时间、出血量、骨折愈合时间和住院时间均显著优于对照组(P<0.05)。观察组术后3个月的临床疗效优良率显著高于对照组(P<0.05)。观察组术后并发症总发生率显著低于对照组(P<0.05)。结论闭合克氏针内固定治疗小儿肱骨髁上骨折临床疗效确切,术后并发症少,有利于骨折愈合。

Objective To study the clinical effect of Kirschner wire internal fixation in the treatment of supracondylarfracture of the humerus in children. Methods According to random number table method, a total 60 children withsupracondylar fracture of the humerus were divided into observation group and control group, with 30 cases in each group.Closed reduction and Kirschner wire internal fixation treatment was applied in the observation group, open reduction andKirschner wire internal fixation treatment was used in the control group. Clinical efficacies between the two groups werecompared. Results The operation time, the amount of bleeding, fracture healing time and hospital stays in the observationgroup were significantly better than those in the control group（P〈0.05）. At three months after surgery, the excellent and goodrate of clinical efficacy in the observation group was significantly higher than that in the control group （P〈0.05）. The totalincidence of complications in the observation group was significantly lower than that in the control group （P〈0.05）.Conclusion Applying closed reduction and Kirschner wire internal fixation in the treatment of supracondylar fracture of thehumerus in children has exact clinical efficacy, with lower postoperative complications, which is conducive to fracture healing.