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目的:分析克氏针内固定治疗小儿肱骨近端骨折的临床疗效。方法:选取2014年5月至2016年7月郑州大学第一附属医院收治的110例肱骨近端骨折患儿,并将肱骨近端骨折患儿分为两组,对照组患儿实施切开复位接骨板内固定术治疗,观察组患儿实施克氏针内固定治疗,将两组肱骨近端骨折患儿治疗效果进行对比。结果:观察组肱骨近端骨折患儿治疗总有效率96.36%高于对照组的81.82%,差异具有统计学意义(P<0.05);观察组患儿治疗后骨折愈合时间(2.01±1.33)月、手术时间(50.23±1.28)min、住院时间(12.45±0.58)d、治疗总费用(5428.11±150.45)元优于对照组,差异具有统计学意义(P<0.05)。结论:克氏针内固定治疗小儿肱骨近端骨折具有显著的效果,不仅能缩短患儿骨折愈合时间、手术时间、住院时间,还能减少治疗总费用,减轻患儿家属经济负担,提高治疗效果。
Objective: To analyze the clinical effect of Kirschner wire internal fixation in the treatment of proximal humeral fractures in children. Methods: A total of 110 children with proximal humeral fractures were enrolled in the First Affiliated Hospital of Zhengzhou University from May 2014 to July 2016. The children with proximal humerus fractures were divided into two groups. The control group received open reduction Bone plate fixation, the observation group of children with Kirschner wire fixation treatment, the two groups of children with proximal humerus fractures were compared. Results: The total effective rate of treatment group was 96.36%, and the difference was statistically significant (P <0.05). The fracture healing time of observation group was 2.01 ± 1.33 months (50.23 ± 1.28) min, hospital stay (12.45 ± 0.58) d, total cost of treatment (5428.11 ± 150.45) yuan better than the control group, the difference was statistically significant (P <0.05). Conclusion: Kirschner wire internal fixation for the treatment of proximal humeral fractures in children has a significant effect, not only can shorten the fracture healing time, operation time and hospitalization time, but also reduce the total cost of treatment, reduce the financial burden on the families of children and improve the treatment effect .