儿童闭合性尺桡骨骨折手法复位及手术治疗后的远期疗效对比研究

Comparison of long term effect of manipulative reduction and after operation treatment of ulna and radius fracture in children

目的:探讨儿童闭合性尺桡骨骨折手法复位及手术治疗后的远期疗效。方法:2013年9月-2014年5月收治儿童闭合性尺桡骨骨折患者90例,随机分成观察组和对照组,各45例,观察组采用手术治疗,对照组采用手法复位,比较两组治疗后的远期疗效。结果:经治疗,观察组临床疗效(92.38%)高于对照组(83.65%),差异有统计学意义(P<0.05),但两组的Anderson评分优良率在治疗后6个月与1年无显著差异,无统计学意义(P>0.05)。结论:手法复位与手术治疗对儿童闭合性尺桡骨骨折患者均有较好的远期疗效,但后者的临床愈合率高于前者,在临床上应根据具体情况进行选用。

Objective: To investigate the long term curative effect of manipulative reduction and after surgical treatment of ulna and radius fracture in children.Methods:90 children patients with ulna and radius fracture were selected from September 2013 to May 2014.They were randomly divided into the observation group and the control group with 45 cases in each.The observation group were treated with operation,and the control group were treated with manipulative reduction.We compared the long term curative effect of the two groups after treatment.Results:After the treatment,the clinical curative effect of the observation group(92.38%) was higher than that of the control group(83.65%), with statistical significance(P<0.05),but the good rate of Anderson score in 6 months and 1 years of the two groups after the treatment without significant difference,and there was no statistical significance(P>0.05).Conclusion:Manipulative reduction and operation in the treatment of children’s ulna and radius fracture has better long-term curative effect,but the clinical healing rate of the latter is higher than that of the former.In clinic we should choose according to the specific situation.