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目的总结7例因臀位剖宫产导致的新生儿股骨干骨折的治疗。方法对于5例中上段骨折的患儿,治疗时采用腹部绷带捆扎的骨折固定法,2例中下段骨折患儿采用硬筒纸皮制作的夹板固定。结果骨折临床愈合时,平均成角畸形29.6°,短缩畸形1.52cm,7例病人均得到随访,平均随访时间3年2个月,所有残余畸形均在生长发育过程中得到完全纠正。双下肢等长,患肢功能恢复满意。结论骨折愈合快,自我塑形能力强,是新生儿骨折愈合的特点,对于中上段股骨骨折适于采用腹部固定法,它既可以减少婴儿的不适,又可很好地纠正成角畸形,便于患儿的护理,是一种简单、安全、有效的治疗方法。
Objective To summarize the treatment of 7 cases of neonatal femoral shaft fractures caused by breech cesarean section. Methods Five children with upper-middle-level fractures were treated with abdominal bandage fixation and two middle-lower-level fractures were fixed by splints made of hard-tissue paper. Results The clinical results of fracture healing were 29.6 ° in average and 1.52cm in shortening. All 7 patients were followed up for an average of 3 years and 2 months. All residual malformations were completely corrected during the growth and development. Lower extremities equal length, limb functional recovery satisfaction. Conclusions The healing of fracture is rapid and the self-shaping ability is strong. It is the characteristic of neonatal fracture healing. For middle and upper femoral fracture, the method of abdominal fixation is suitable. It can reduce the discomfort of the infant and can correct the angular deformity well. Children’s care is a simple, safe and effective treatment.