儿童肱骨髁上骨折合并肱动脉血栓形成的超声分析

Analysis of ultrasonic on supracondylar fracture of humerus in children combined with brachial artery thrombosis

目的:探讨儿童肱骨髁上骨折合并肱动脉血栓形成的超声表现。方法:对2013-2014年16例肱骨髁上骨折合并肱动脉血栓形成患儿进行彩超检查。结果:16例患儿全部随访,手术确诊14例,误诊1例,转上级医院1例。结论:儿童肱骨髁上骨折容易造成肱动脉血栓形成,通过细致的体格检查后怀疑肱动脉血栓形成的患儿应早期做彩超检查,一旦确诊可早期进行手术治疗,恢复血管的通畅,减少后遗症。

Objective:To investigate the ultrasonic manifestation of supracondylar fracture of humerus in children combined with brachial artery thrombosis.Method:16 children with humeral supracondylar fracture combined with brachial artery thrombosis who taken color doppler ultrasound were selected from 2013 to 2014.Results:All of those 16 patients were followed up,in which 14 cases were diagnosed by operation,1 cases was misdiagnosis,and 1 cases was transfermed to the superior hospital.Conclusion:The supracondylar fracture of humerus in children can easily lead to brachial artery thrombosis.Ultrasound should be taken if suspected brachial artery thrombosis through careful physical examination in children.Once diagnosised of brachial artery thrombosis,early operation treatment should be given,in order to restoration of patency and reduce sequela.