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目的:观察比较两种不同方法治疗儿童肱骨髁上骨折的临床疗效。方法:将80例移位肱骨髁上骨折患儿随机分为治疗组和对照组各40例,治疗组采用手法复位小夹板外固定,对照组采用交叉克氏针内固定,观察2组骨折愈合时间、肘内翻的发生率及临床疗效。结果:2组患者骨折愈合时间、肘内翻发生率分别比较,差异均无显著性意义(P>0.05),但临床疗效比较,差异有非常显著性意义(P<0.01)。结论:手法复位小夹板外固定治疗小儿肱骨髁上骨折,具有创伤小、固定牢靠、并发症低、临床疗效显著的特点。
Objective: To observe and compare the clinical effects of two different methods in the treatment of supracondylar humerus fractures in children. Methods: Eighty children with supracondylar humerus fractures were randomly divided into treatment group (n = 40) and control group (n = 40). The treatment group was treated by manual reduction and external fixator. The control group was treated with Kirschner wire fixation. The fracture healing Time, the incidence of cubitus varus and clinical efficacy. Results: There was no significant difference in fracture healing time and cubitus varus between the two groups (P> 0.05). However, there was significant difference between the two groups in clinical curative effect (P <0.01). Conclusions: Manipulative reduction and external fixation with small splints for the treatment of supracondylar humerus fractures in children has the characteristics of small trauma, firm fixation, low complication and significant clinical curative effect.