| 中西医结合治疗儿童前臂双骨折 |
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Received:September 03, 2002
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| 期刊信息：《中国骨伤》2003年16卷，第5期，第260-261页 |
| DOI：doi:10.3969/j.issn.1003-0034.yyyy.nn.zzz |
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目的:探讨儿童前臂双骨折治疗中,应该采用适宜的治疗方法来提高治疗的功能效果。
方法:对95例7～14岁闭合性、移位的前臂双骨折,其中74例按不同的骨折类型早期手法复位,夹板或石膏外固定,重点注意克服存在的旋转因素,不成功者给予手术治疗。适宜的指导功能锻炼。另有21例进行开放复位,钢板螺丝钉内固定,以后二次手术,取内固定。
结果: 74例中67例手法复位成功,成功率为905%,骨折愈合时间为32～45d,平均41d。7例手法复位不成功采用手术治疗,其中2例为小切口撬拨治疗。骨折愈合时间为85～95d,平均91d。手法复位组中<6h就诊60例中3例不成功,>6h就诊14例中4例不成功。经随访1年以上,2例有10°左右的旋转。21例手术骨折愈合时间为75～150d,平均92d。皆于6个月～1年取钢板。
结论:儿童前臂双骨折应尽早应用手法复位是重要的,旋转移位是前臂双骨折复位成功和功能恢复好的关键性因素,应主动加以克服,复位成功率是可以提高的,开放复位对儿童前臂双骨折不能作为首选,应进一步理解中西医结合治疗骨折的观念,融入有限的手术,便于护理,提高治愈率。 |
| [关键词]:尺骨骨折 桡骨骨折 中西医结合疗法 |
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| Treatement for fractures of the ulna and radius in children with TCM and WM |
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Abstract:
Objective:To investigate the suitable method for improving good function in the treatment of childrens fracture of the ulna and radius.
Methods:95 cases(age from 7 to 14 years old) of closed and displaced fracture of the ulna and radius were studied.74 of them were treated with manual reduction and splint or plaster external fixation.The rotation of the fracture ends should be noticed and overcome.The surgical treatment was for unsuccessful cases.21 of them were treated with open reduction and internal fixation.The plate and screws were removed with secondary operation.
Results:67 cases with manual reduction were successful and the successful rate was 90 5%.Fracture healing time was from 32 to 45 days with average 41 days.7 cases with unsuccessful manual reduction were treated by surgery.In 2 cases of them the fractures were prized under small incision.In the patients with the manual reduction,3 cases were unsuccessful in 60 cases who were treated within 6 hours,4 cases were unsuccessful in the 16 cases beyond 6 hours.With more than one year followed up,2 cases of them showed about 10° rotation.Fracture healing time of 21 cases was from 75 to 150 days with average 92 days.The plates were removed after half a year or a year.
Conclusion:The early manual reduction was important for childrens fracture of the ulna and radius.Controlling the rotation of the fracture ends is the key factor for success.Open reduction is not the first choice for the childrens fracture of the ulna and radius.The concept of combined treatment of traditional Chinese and western medicine should be understood to improve cure rate. |
| KEYWORDS:Ulna fractures Radins fractures TCM WM therapy |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 刘同行,郭德权,徐晓峰,羊国民,徐国平,孔德宏.中西医结合治疗儿童前臂双骨折[J].中国骨伤,2003,16(5):260~261 |
| 英文格式: | LIU Tonghang,GUO Dequan,XU Xiaofeng.Treatement for fractures of the ulna and radius in children with TCM and WM[J].zhongguo gu shang / China J Orthop Trauma ,2003,16(5):260~261 |
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