本文選題：復位 + 兒童　； 參考：《承德醫(yī)學院》2017年碩士論文

【摘要】：目的:這項研究的主要目的是評價經(jīng)皮撬撥復位法治療復位困難的小兒尺橈骨遠端骨折的療效。方法:選取2010年5月至2012年1月間收治的48名復位困難的尺橈骨遠端骨折的患兒為研究對象,并對他們實施了經(jīng)皮撬撥復位治療。包括32名男孩和16名女孩,他們年齡為7-15歲,平均11歲,其中22名患兒的年齡不足9歲。在術后的隨訪中,腕關節(jié)的活動范圍及手腕部的握力被充分評估,患側(cè)的測量結(jié)果與健側(cè)的測量結(jié)果也進行了系統(tǒng)的對比。腕關節(jié)功能根據(jù)Mayo wrist score評分表的標準來評估;肢體外觀用visual analogue scale評分表來評估,患者對手術效果的滿意度也可用此表評估,患者可根據(jù)自己的滿意度給出0~10的評分。相關數(shù)據(jù)進行統(tǒng)計分析后的P值0.05被認為兩種治療方法具有統(tǒng)計學上的差異。結(jié)果:患者均取得骨折對位并愈合。骨折愈合時間:橈骨3~4周,平均3.5周;尺骨:3~4周,平均3.8周。經(jīng)過36~45個月的術后隨訪,患者痊愈后,腕部屈曲活動范圍為65°~86°,平均74°;伸直活動范圍為54°~78°,平均66°�；紓�(cè)手腕部的握力為13.8~47.6Kg,平均33.7Kg。腕關節(jié)功能評分為85~100分,平均97分,包括44例優(yōu)秀與4例良好�；颊叩那氨弁庥^得分為9~10分,平均9.7分,患者對術后傷肢功能的滿意分數(shù)為8~10分,平均9.8分。骨折愈合后,所有患者的關節(jié)活動范圍及手腕部的握力,與他們受傷前相比較,沒有明顯的減弱。結(jié)論:經(jīng)皮撬撥復位法對于復位困難的小兒尺橈骨遠端骨折是一項安全、有價值的手術治療方法。
[Abstract]:Objective: to evaluate the efficacy of percutaneous prying reduction in the treatment of distal ulnar and radial fractures in children with difficult reduction. Methods: from May 2010 to January 2012 48 children with distal ulnar and radial fractures with difficult reduction were selected and treated with percutaneous prying reduction. They included 32 boys and 16 girls, aged 7-15, with an average age of 11, of whom 22 were under 9. During the follow-up, the range of wrist movement and the grip strength of the wrist were fully evaluated, and the measured results of the affected side were compared with those of the healthy side. Wrist function was evaluated according to the criteria of Mayo wrist score scale, limb appearance was evaluated by visual analogue scale, and patients' satisfaction with surgical effect was also evaluated by this table. Patients could give a score of 0 to 10 according to their own satisfaction. P 0.05 after statistical analysis of relevant data was considered to be statistically different between the two treatments. Results: all the patients obtained the fracture alignment and healed. Fracture healing time: radius 3 weeks, mean 3.5 weeks, ulna 3 weeks, mean 3.8 weeks. After 36 ~ 45 months follow-up, the range of wrist flexion activity was 65 擄/ 86 擄(mean 74 擄) and the range of extension was 54 擄/ 78 擄(mean 66 擄). The grip strength of the affected wrist was 13.8 and 47.6 kg, with an average of 33.7 kg. Wrist function score ranged from 85 to 100 with an average of 97, including 44 excellent and 4 good. The score of forearm appearance was 9 ~ 10 with an average of 9.7 points, and the satisfaction score of the patients with the function of injured limbs was 8 ~ 10, with an average of 9.8 points. After fracture healing, the range of joint motion and the grip strength of the wrist were not significantly decreased compared with those before the injury. Conclusion: percutaneous prying reduction is a safe and valuable surgical treatment for distal ulnar and radial fractures in children with difficult reduction.
【學位授予單位】：承德醫(yī)學院
【學位級別】：碩士
【學位授予年份】：2017
【分類號】：R726.8
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本文編號：1986591