儿童桡骨颈“歪戴帽”型骨折保守治疗与手术治疗的疗效对比

A comparison between the effects of conservative treatment and surgical treatment on children radial neck fracture of crooked hats type

目的:探讨儿童桡骨颈"歪戴帽"型骨折保守治疗与手术治疗的疗效对比。方法:将65例桡骨颈"歪戴帽"型骨折患者随机分为观察组(33例)和对照组(32例),分组采用手法复位外固定治疗以及手术闭合复位弹性针内固定治疗,观察两组患者的治疗效果。结果:观察组优良率高于对照组,差异具有统计学意义(P <0.05)。结论:手法复位石膏外固定治疗儿童桡骨颈"歪戴帽"型骨折复位满意,方法简单,石膏固定可靠,配合中药分期辨证使用,可降低关节僵硬、异位骨化的发生率,疗效显著。

Objective: To compare the effects of conservative treatment with surgical treatment on children radial neck fracture of crooked hats type. Methods: 65 cases were randomly divided into the observation group(33 cases) and the control group(32 cases). The observation group was given manipulative reposition and external fixation;and the control group received surgical closed reduction and internal fixation with elastic needles. Results: The excellent and good rate in the observation group was higher than the control group, and the difference was statistically significant(P<0.05). Conclusion: Manipulative reposition and external fixation on children radial neck fracture of crooked hats type is satisfactory, simple, and reliable, can reduce the incidence of joint stiffness and heterotopic ossification combined with TCM medicine, with significant effects.