發(fā)布時(shí)間：2018-11-16 14:31

【摘要】：目的分析在克氏針在治療兒童肱骨近端骨折的臨床療效及應(yīng)用價(jià)值。 方法回顧分析二零零五年一月至二零一一年十二月在重慶醫(yī)科大學(xué)附屬兒童醫(yī)院行手術(shù)治療的85例肱骨近端骨折患兒，均行手術(shù)切開復(fù)位，，并以克氏針固定，術(shù)后以外展支具固定。術(shù)后隨訪骨折愈合情況及肱骨生長情況。并囑患兒行功能鍛煉，隨訪患側(cè)關(guān)節(jié)功能恢復(fù)情況。 結(jié)果85例手術(shù)患兒均獲得隨訪，術(shù)后平均隨訪10個(gè)月。全部病例骨折愈合，術(shù)后6-8周左右骨折處骨性愈合即可拔出克氏針。術(shù)后未發(fā)現(xiàn)一例肱骨頭壞死、骨折再移位、骨不連，以及滑針、斷針等并發(fā)癥存在。以Constant-Murley肩關(guān)節(jié)功能評定方法作為療效評定標(biāo)準(zhǔn)：優(yōu)（大于90分）74例，良（80-89分）6例，一般（70-79分）5例，差（低于70分）0例，優(yōu)良率達(dá)94%。 結(jié)論在兒童肱骨近端骨折手術(shù)切開復(fù)位內(nèi)固定中，應(yīng)用克氏針作為固定材料，手術(shù)操作簡單，固定較牢靠，對兒童骨骺損傷小，對周圍組織（包括神經(jīng)、血管）干擾較小，并且能早期進(jìn)行肩關(guān)節(jié)功能鍛煉，減輕術(shù)后肩關(guān)節(jié)周圍組織的粘連。是治療小兒肱骨近端骨折的一種良好方法。
[Abstract]:Objective to analyze the clinical effect and application value of Kirschner needle in the treatment of proximal humerus fracture in children. Methods from January 2005 to December 2011, 85 children with proximal humeral fractures were treated with open reduction and fixation with Kirschner needle. The external abductions were fixed after operation. Fracture healing and humeral growth were followed up. The children were given functional exercise to follow up the recovery of joint function in the affected side. Results 85 cases were followed up, the average follow-up was 10 months. All cases of fracture healing, 6-8 weeks after the fracture of bone healing can pull out Kirschner needle. No complications such as necrosis of the brachial head, redisplacement of fracture, nonunion, slide needle and broken needle were found after operation. Constant-Murley 's shoulder function evaluation was used as the criterion of curative effect: excellent (> 90) 74 cases, good (80-89) 6 cases, average (70-79) 5 cases, poor (less than 70) 0 cases. The excellent and good rate was 94. Conclusion in the open reduction and internal fixation of proximal humerus fracture in children, Kirschner's needle is used as the fixation material, the operation is simple, the fixation is reliable, the injury to epiphysis is small, and the interference to peripheral tissues (including nerve and blood vessel) is small. And early shoulder functional exercise to reduce postoperative adhesion around the shoulder. It is a good method to treat proximal humerus fracture in children.
【學(xué)位授予單位】：重慶醫(yī)科大學(xué)
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2013
【分類號】：R726.8

【參考文獻(xiàn)】

相關(guān)期刊論文 前4條

1 牛連生;王東;徐鴻;孫彤;劉朋;鄭文彬;王冰;;鎖定鋼板治療肱骨近端骨折26例療效分析[J];重慶醫(yī)學(xué);2008年19期

2 梁輝;唐光耀;鐘華俊;;改良張力帶內(nèi)固定治療兒童肱骨近端骨折42例療效觀察[J];貴州醫(yī)藥;2006年07期

3 白長友;金智勇;紀(jì)樹青;李光友;宋慶偉;王玉琨;;兒童肱骨遠(yuǎn)端全骺分離的診療體會[J];河北醫(yī)藥;2012年07期

4 李人杰 ,洪波波 ,李康華;兒童外傷性肱骨外科頸骨折不連1例[J];中國現(xiàn)代醫(yī)學(xué)雜志;2003年12期

本文編號：2335776