儿童前臂双骨折临床治疗的回顾性分析

Retrospective analysis of the clinical treatment of double forearm fractures in children

目的:对儿童前臂双骨折病例选择不同方式治疗病例进行分析,分别评价其临床治疗效果。方法:回顾2014~2022年就诊儿童前臂双骨折病例158例,运用郑氏正骨手法进行非手术治疗90例,采用手术治疗68例,比较两组临床与影像资料。结果:随访患者初诊至骨折愈合后,Wong-Baker FACES疼痛评分两组治疗后均得到显著性减轻,两组间无显著性差异(P=0.77);末次随访时Anderson功能评价非手术组1.29±0.55,手术组1.09±0.32,两组间无显著性差异(P=0.10)。影像方面,两组复位后质量无显著性差异(P=0.69),骨折愈合时间非手术组显著短于手术组(P=0.02)。结论:手术与非手术治疗儿童前臂双骨折临床疗效均较满意,可在临床中广泛推广使用。

Objective:To analyse the cases of children's forearm double fracture treated by different modalities,and to judge their clinical treatment effect respectively.Methods:We reviewed 158cases of children with double forearm fractures from 2014to 2022.Thereinto,90cases were treated by non-operative treatment,and 68cases were treated by surgical treatment.We compared the clinical and imaging data of the two groups.Results:After the initial consultation to fracture healing of the follow-up patients,Wong-Baker FACES pain scores were significantly reduced in both groups after treatment,and there was no significant difference between the two groups(P=0.77);Anderson functional evaluation at the last follow-up 1.29±0.55in the non-operative group and 1.09±0.32in the surgical group,and there was no significant difference between the two groups(P=0.10).On the basis of imaging,there was no significant difference between the two groups in terms of post-reduction quality(P=0.69),and the fracture healing time was significantly shorter in the non-operative group than in the operative group(P=0.02).Conclusion:The clinical efficacy of both surgical and non-surgical treatment of children's double forearm fractures is satisfactory,and can be widely promoted in the clinic.