撬拨复位技术在治疗儿童难复性肱骨髁上骨折中的应用研究

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中文摘要：目的:探究撬拨复位技术在治疗儿童难复性肱骨髁上骨折中的应用效果.方法:选取2021年7 月—2023 年 7 月赣州市妇幼保健院小儿骨科收治的 80 例儿童难复性肱骨髁上骨折患者作为研究对象.根据治疗方法的不同分为对照组(n=60)和研究组(n=20).研究组采用撬拨复位技术治疗,对照组采用切开复位治疗.比较两组的围手术期指标、肢体活动度、疼痛程度、生活质量及肘关节情况.结果:研究组手术时间、住院时间均短于对照组,术中出血量少于对照组(P<0.05);治疗后,研究组视觉模拟评分法(VAS)评分低于对照组,肢体功能评分高于对照组(P<0.05);治疗后,研究组健康调查简表(SF-36)各项评分均高于对照组(P<0.05);末次随访时两组患侧肘关节的Baumann角、提携角均在正常范围内,且研究组均高于对照组(P<0.05);研究组Flynn优良率高于对照组(P<0.05).结论:采用撬拨复位技术治疗儿童难复性肱骨髁上骨折的效果较好,可有效加速患者恢复,改善患者的肢体功能、肘关节情况,并减轻患者的疼痛程度.

外文标题：Application of Pry Reduction Technique in the Treatment of Irreducible Supracondylar Fracture of Humerus in Children

外文摘要：Objective:To explore the application effect of pry reduction technique in the treatment of irreducible supracondylar fracture of humerus in children.Method:A total of 80 children with irreducible supracondylar fracture of humerus admitted to the Pediatric Orthopedics in Ganzhou Women and Children's Health Care Hospital from July 2021 to July 2023 were selected as the study objects.They were divided into control group(n=60)and study group(n=20)according to therapeutic method.The study group was treated with pry reduction technique,and the control group was treated with open reduction.Perioperative indexes,limb motion,pain,quality of life and elbow joint were compared between the two groups.Result:The operation time and hospital stay of the study group were shorter than those of the control group,and the amount of blood loss during operation was less than that of the control group(P<0.05).After treatment,visual analogue scale(VAS)score of the study group was lower than that of the control group,and limb function score was higher than that of the control group(P<0.05).After treatment,the scores of the MOS item short from health survey(SF-36)in the study group were higher than those in the control group(P<0.05).At the last follow-up,the Baumann angle and carrying angle of the affected elbow joint in both groups were within the normal range,and those in the study group were higher than those in the control group(P<0.05).The Flynn excellent and good rate in study group was higher than that in control group(P<0.05).Conclusion:The pry reduction technique is effective in the treatment of irreducible supracondylar fracture of humerus in children,which can effectively accelerate the recovery of patients,improve the limb function of patients,the condition of elbow joints,and reduce the degree of pain of patients.

外文关键词：

Pry reduction technologyOpen reduction methodIrreducible supracondylar fracture of humerus in children

作者：

徐建兵、黄秀明、袁淦峰、刘全、曾庆慎

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作者单位：

赣州市妇幼保健院小儿骨科江西赣州 341000

关键词：

撬拨复位技术切开复位法儿童难复性肱骨髁上骨折

出版年：

2024

DOI：