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目的了解侧前、后入路治疗儿童肱骨髁上骨折优越性以及临床疗效。方法 2001年2月至2006年1月儿童肱骨髁上骨折需行手术患者42例,其中肱三头肌舌状瓣入路(对照组)、肱三头肌两侧入路(观察组)26例;统计分析两组患者手术时间、术中出血量、骨折愈合时间以及肘内翻情况,同时进行肘关节功能评定。结果 42例患者均获得随访,随访时间3～5年不等,平均(3.23±1.40)年;手术时间、出血量、术后骨折愈合时间观察组小于对照组,差异具有统计学意义;肘关节功能一般术后2个月内恢复,观察组肘功能总优良率为84.62%,优于对照组,肘功能恢复时间上差异具有统计学意义。结论肱三头肌两侧入路治疗儿童肱骨髁上骨折具有损伤小、出血少、术后骨折愈合快以及肘功能恢复好等优点。
Objective To understand the advantages and clinical effects of anterior and posterior approaches in the treatment of supracondylar humerus fractures in children. Methods 42 cases of supracondylar fractures of humerus were performed in the operation from February 2001 to January 2006, including triceps brachii lingual flap (control group), triceps approach (control group) 26 Cases; statistical analysis of two groups of patients operating time, blood loss, fracture healing time and elbow valgus situation, at the same time elbow function evaluation. Results All the 42 patients were followed up for 3 to 5 years, with an average of (3.23 ± 1.40) years. The operation time, blood loss and postoperative fracture healing time in the observation group were smaller than those in the control group. The difference was statistically significant. The elbow Function generally recovered within 2 months after operation, the elbow function in the observation group was 84.62%, superior to the control group, and the difference in elbow recovery time was statistically significant. Conclusion Triceps supracondylar humerus fractures have the advantages of less injury, less bleeding, faster healing of fractures and better recovery of elbow function.