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儿童骨折的微创治疗
Hits: 2172   Download times: 1348   Received:January 05, 2006    
作者Author单位UnitE-Mail
姬中毅 JI Zhong-yi 深圳市龙岗区葵涌医院  
叶俊强 YE Jun-qiang 龙岗区中心医院外二科,广东深圳518119 Department of the Second Surgery,the Central Hospital of Longgang,Shenzhen 518119,Guangdong,China  
何汉京 HE Han-jing 龙岗区中心医院外二科,广东深圳518119 Department of the Second Surgery,the Central Hospital of Longgang,Shenzhen 518119,Guangdong,China  
期刊信息:《中国骨伤》2006年19卷,第10期,第583-584页
DOI:doi:10.3969/j.issn.1003-0034.yyyy.nn.zzz
基金项目:深圳市2004年度卫生科技计划立项项目(编号:200405263)


目的:探讨儿童骨折的特殊性,对有限内固定治疗效果进行分析。

方法:回顾分析手术治疗的132例儿童骨折病例,男107例,女25例,年龄4~13岁,平均8.3岁。粉碎性骨折60例,横断骨折34例,斜形骨折29例,螺旋骨折9例。开放性骨折44例;新鲜骨折123例,骨折4周内9例。合并其他部位骨折43例57处。

结果:132例均获随访,随访时间6个月~5.5年,平均1.32年。根据评定标准:优良129例,差3例(1例严重肘内翻畸形,1例膝关节屈伸部分受限,1例术后2年余患肢增长12.5mm)。术后创面感染13例,合并肺炎5例。

结论:儿童不稳定性骨折适时有限内固定结合外固定疗效可靠并能减少并发症的发生。
[关键词]:骨折  儿童  外科手术,微创性
 
Minimally invasive and limited internal fixation for the treatment of fracture in children
Abstract:

Objective:To explore the specially of children′s fracture and to analyze the therapeutic efficacy of limited internal fixation for its.

Methods:One hundred and thirty-two children′s fractures after operation were retrospectivly analyzed,including 107 boys and 25 girls with an average age of 8.3 years(range from 4 to 13 years).The comminuted fracture,transverse fracture,compound fracture and spiral fracure were 60,34,29,9 cases respectively.Among the children,44 fractures were open and 123 were fresh.Forth-three cases (57 places) combine with fractures of other parts.

Results:All patients were followed up from 6 months to 5.5 years with an average of 1.3 years.According to criterion of evaluation:129 cases obtained excellent and good results,3 poor(1 case had severe cubitus varus,1 case had limited knee joint flexion-extension,1 affected extremity grew 12.5 mm longer in 2 years after operation).Thirteen cases suffered from infection and 5 cases had complicated pneumonia after operation.

Conclusion:Limited internal fixation and external fixation at the right moment can obtain reliable effect,which can decrease complication.
KEYWORDS:Fractures  Child  Surgical procedures,minimally invasive
 
引用本文,请按以下格式著录参考文献:
中文格式:姬中毅,叶俊强,何汉京.儿童骨折的微创治疗[J].中国骨伤,2006,19(10):583~584
英文格式:JI Zhong-yi,YE Jun-qiang,HE Han-jing.Minimally invasive and limited internal fixation for the treatment of fracture in children[J].zhongguo gu shang / China J Orthop Trauma ,2006,19(10):583~584
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