交叉克式针皮外捆扎治疗儿童肱骨髁上骨折

Treatment of Supracondylar Humerus Fracture in Children

目的总结切开复位交叉克式针内固定,皮外捆扎克式针治疗儿童肱骨髁上骨折。方法该文的研究样本均选取于该科2011年1月—2016年12月住院的三型儿童肱骨髁上骨折100例,根据入院时间将其分为实行组和常例组,常例组实施传统内固定术进行治疗,实行组实施交叉克式针皮外捆扎进行治疗,比较两组患儿的治疗效果和产生不良事件的情况。结果实行组患儿经过治疗后的总有效率为94.00%,常例组患儿经过治疗后的总有效率为86.00%,相比之下,实行组患儿的治疗效果更加显著,差异有统计学意义(χ2=11.429,P=0.001);实行组患儿经过治疗后出现不良事件的总发生率为4.00%,常例组患儿经过治疗后出现不良事件的总发生率为12.00%,相比之下,实行组患儿出现不良事件的情况更少,安全性更高,差异有统计学意义(χ2=14.286,P=0.001)。结论外侧切口切开复位交叉克式针内固定皮外捆扎固定治疗儿童肱骨髁上骨折,可以早期进行功能锻炼,无针道感染及克式针滑脱的现象发生,治疗效果显著,安全性高。

Objective To summarize the treatment of children with supracondylar fractures of the humerus by open reduction and internal fixation with cross-type needles and external strapping with needles.Methods The research samples in this article were selected from the hospital from January 2011 to December 2016.100 children with supracondylar fractures of the humerus were hospitalized.They were divided into the practice group and the routine group according to the admission time.The routine group was treated with traditional internal fixation.The treatment group was treated by surgery,and the cross-gram needle skin banding was performed in the treatment group.The treatment effects and adverse events in the two groups were compared.Results The total effective rate of children in the practice group after treatment was 94.00%,and the total effective rate of children in the routine group after treatment was86.00%.In contrast,the therapeutic effect of the children in the practice group was more significant,the difference was statistically significant(χ2=11.429,P=0.001);the total incidence of adverse events after treatment in children in the practice group was 4.00%,and the total incidence of adverse events in children in the routine group after treatment was 12.00%,compared to the patients in the practice group.There were fewer adverse events and higher safety in children,the difference was statistically significant(χ2=14.286,P=0.000).Conclusion The lateral incision was used to reduce the cross-gram needle internal fixation and external skin banding and fixation for the treatment of supracondylar fracture of humerus in children.Functional exercise can be performed early.There is no needle infection and slippage of the needle.The treatment effect is significant and the safety is high.