彈性釘閉合復(fù)位內(nèi)固定治療兒童橈骨頸骨折的療效

高云 李華慶 肖曉亮 梁慶團(tuán) 劉源 張琨 曹菁

[摘要] 目的 探討彈性釘閉合復(fù)位內(nèi)固定治療兒童橈骨頸骨折的療效。 方法 收集2015年1月至2020年1月我院（珠海市婦幼保健院）收治的56例兒童橈骨頸骨折患兒的臨床資料，按照手術(shù)治療方式的不同分為對(duì)照組和研究組，對(duì)照組為采用切開(kāi)復(fù)位克氏針固定術(shù)治療的28例患兒，研究組為采用彈性釘閉合復(fù)位內(nèi)固定療法的另外28例患兒，記錄兩組患兒手術(shù)時(shí)間、術(shù)中出血量以及術(shù)后住院天數(shù)，并進(jìn)行為期1年的隨訪，對(duì)其患肢功能、不同時(shí)間點(diǎn)的疼痛程度進(jìn)行評(píng)估。 結(jié)果 對(duì)照組的手術(shù)時(shí)間、術(shù)后住院時(shí)間分別為（90.93±4.82）min、（11.38±2.73）d，均較研究組的（43.23±4.83）min、（6.97±1.86）d長(zhǎng);對(duì)照組術(shù)中出血量為（104.34±20.47）mL，較研究組的（50.38±6.93）mL多;對(duì)照組患肢功能優(yōu)良率為85.71%，較研究組的100.00%低;術(shù)后不同時(shí)間點(diǎn)，對(duì)照組的視覺(jué)模擬評(píng)分法（VAS）評(píng)分均較研究組高，差異有統(tǒng)計(jì)學(xué)意義（P<0.05）。 結(jié)論 彈性釘閉合復(fù)位內(nèi)固定治療兒童橈骨頸骨折能夠顯著提高治療效果，減輕患兒的疼痛感，改善肢體功能，值得推廣。

[關(guān)鍵詞] 彈性釘;閉合復(fù)位;橈骨頸骨折;視覺(jué)模擬評(píng)分法

[中圖分類號(hào)] R726.8? ? ? ? ? [文獻(xiàn)標(biāo)識(shí)碼] B? ? ? ? ? [文章編號(hào)] 1673-9701（2021）24-0099-04

The curative effect of closed reduction and internal fixation with elastic nails in the treatment of pediatric radial neck fractures

GAO Yun? ?LI Huaqing? ?XIAO Xiaoliang? ?LIANG Qingtuan? ?LIU Yuan? ?ZHANG Kun? ?CAO Jing

Department of Orthopedics， Zhuhai Women and Children′s Hospital， Zhuhai? ?519000， China

[Abstract] Objective To explore the curative effect of closed reduction and internal fixation with elastic nails in the treatment of pediatric radial neck fractures. Methods The clinical data of 56 children patients with radial neck fractures who were admitted to our hospital （Zhuhai Women and Children's Hospital） from January 2015 to January 2020 were collected. According to different surgical treatment methods， the patients were divided into the control group and the study group. The control group of 28 children patients was treated with open reduction and Kirschner wire fixation. The study group of 28 children patients was treated with elastic nails for closed reduction and internal fixation. The operation time， intraoperative blood loss， and postoperative length of hospital stay were recorded for both groups， and they were followed up for a year. The function of the affected limb and the degree of pain at different time points were evaluated. Results The operation time and postoperative length of hospital stay in the control group were （90.93±4.82） min and （11.38±2.73） days， respectively， which were longer than those of （43.23±4.83） min and （6.97±1.86） days in the study group; the intraoperative blood loss in the control group was （104.34±20.47） mL， which was more than that of （50.38±6.93） mL in the study group; the excellent and good rate of limb function in the control group was 85.71%， which was lower than that of 100.00% in the study group; at different time points after operation， the visual analogue scale （VAS） scores in the control group were higher than those in the study group， and the differences were statistically significant （P<0.05）. Conclusion The closed reduction and internal fixation with elastic nails for pediatric radial neck fractures can significantly improve the curative effect， reduce the pain of the children patients， and improve the function of the limbs， which is worthy of promotion.