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目的:比较两种手术方法治疗儿童Gartland Ⅲ型肱骨髁上骨折的临床疗效。方法:C臂透视下闭合复位经皮克氏针微创固定及切开复位克氏针内固定手术治疗儿童肱骨髁上骨折38例,从肘关节功能、骨折愈合时间、术后并发症及治疗费用方面对治疗效果进行综合评定比较。结果:C臂透视下闭合复位经皮克氏针微创固定组骨折愈合时间及术后并发症与切开复位克氏针内固定手术组比较差异无统计学意义(P<0.05),切开复位克氏针内固定手术组治疗费用多于C臂透视下闭合复位经皮克氏针微创固定组(P<0.05)。结论:C臂透视下闭合复位经皮克氏针微创固定治疗儿童Gartland Ⅲ型肱骨髁上骨折治疗效果理想,综合评价优于切开复位克氏针内固定手术,值得在基层医院推广。
Objective: To compare the clinical effects of two surgical methods in the treatment of Gartland Ⅲ supracondylar humerus fractures in children. Methods: Thirty - eight cases of supracondylar fractures of humerus were treated with closed reduction and percutaneous Kirschner wire fixation and open reduction and Kirschner wire fixation under C - arm fluoroscopy. From elbow joint function, fracture healing time, postoperative complications and treatment Cost aspects of the comprehensive evaluation of the treatment effect comparison. Results: The time of fracture healing and the postoperative complications of closed reduction and percutaneous Kirschner wire fixation with C arm fluoroscopy were not significantly different from those of Kirschner wire internal fixation group (P <0.05) The cost of the Kirschner wire fixation group was more than that of the C - arm closed reduction and percutaneous Kirschner wire fixation group (P <0.05). Conclusion: C-arm fluoroscopy closed reduction and percutaneous Kirschner wire fixation for the treatment of Gartland Ⅲ supracondylar fractures in children with satisfactory results, comprehensive evaluation is better than open reduction and Kirschner wire fixation, it is worth to promote in primary hospitals.