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目的:探讨应用克氏针弹力钢丝治疗小儿肱骨髁上骨折的临床疗效。方法:将我院2007年2月～2011年1月收治的60例肱骨髁上骨折患儿随机分为两组。其中一组为对照组(30例),对照组患儿接受手法复位石膏托固定治疗,另外一组为实验组(30例),实验组患儿接受手术切开复位克氏针弹力钢丝固定治疗。治疗结束后,对两组患儿进行半年～5年的随访以观察其治疗效果。结果:在对照组患儿中,功能恢复为优的患儿22例、功能恢复为良的患儿6例、功能恢复为可的患儿1例、功能恢复为差的患儿1例,其治疗的总体优良率为93.3%。在实验组患儿中,功能恢复为优的患儿28例、功能恢复为良的患儿2例,其治疗的总体优良率为100%。实验组患儿的治疗效果优于对照组患儿,且两组间的差异具显著性(P<0.05)。结论:应用克氏针弹力钢丝治疗小儿肱骨髁上骨折具有疗效显著、安全可靠等优点,是一种值得在临床中推广和应用的器械。
Objective: To investigate the clinical efficacy of Kirschner wire in the treatment of supracondylar humerus fractures in children. Methods: Sixty children with supracondylar fractures of humerus who were treated in our hospital from February 2007 to January 2011 were randomly divided into two groups. One group was control group (30 cases). The control group received fixed reduction plaster and the other group was experimental group (30 cases). The children in experimental group underwent open reduction and Kirschner wire fixation . After treatment, two groups of children were followed up for 5 years to 5 years to observe the treatment effect. Results: Among the control children, 22 children with excellent functional recovery, 6 children with good functional recovery, 1 child with functional recovery, 1 child with poor functional recovery, The overall good rate of treatment was 93.3%. In the experimental group of children, functional recovery was excellent in 28 cases of children with functional recovery was good in 2 cases, the overall good rate of treatment was 100%. The therapeutic effect of the experimental group was better than that of the control group, and the difference between the two groups was significant (P <0.05). Conclusion: The use of Kirschner wire elastic pedicle screw treatment of supracondylar humerus fractures with significant efficacy, safety and reliability, etc., is worth promoting in the clinical application and application of equipment.