论文部分内容阅读
目的比较肘关节后侧“T”形改良入路与传统舌形瓣入路治疗儿童肱骨髁上骨折的疗效。方法选取2012年2月~2016年1月收治的儿童肱骨髁上骨折患者64例,分别采用肘关节后侧“T”形改良入路及舌形瓣入路,比较手术时间、手术后并发症及Flynn肘关节功能评定。结果手术时间方面两组统计学比较,差异不具有统计学意义(P>0.05)。手术并发症发生率,肘关节后侧“T”形改良入路组低于舌形瓣入路,差异具有统计学意义(P<0.05)。Flynn肘关节功能评定结果,肘关节后侧“T”形改良入路组满意率高于舌形瓣入路组,差异具有统计学意义(P<0.05)。结论儿童肱骨髁上骨折切开复位时采用肘关节后侧“T”形改良入路的临床疗效,优于传统肘关节后侧舌形瓣入路。
Objective To compare the curative effect of the posterior “T” shape modified approach and the traditional lingual flap approach for the treatment of supracondylar humerus fractures in children. Methods Sixty-four patients with supracondylar fractures of humerus who were admitted to our hospital from February 2012 to January 2016 were retrospectively studied. The elbow posterior “T” shape and the valve flap were used respectively. The operative time, Complications and Evaluation of Flynn Elbow Function. Results There was no significant difference between the two groups in the operation time (P> 0.05). The incidence of complications was lower in the posterior elbow than in the T-shape modified approach group, with significant difference (P <0.05). The results of Flynn elbow joint function evaluation showed that the satisfactory rate of elbow posterior “T” shape improved group was higher than that of tongue flap group, the difference was statistically significant (P <0.05). Conclusions The clinical efficacy of improved posterior “T” shaped elbow in pediatric supracondylar fracture of the humerus is better than that of the traditional lateral flap of the elbow.