| 儿童严重移位肱骨髁上骨折伴神经损伤的治疗策略 |
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Received:September 11, 2008
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| 作者 | Author | 单位 | Unit | E-Mail |
| 仲肇平 |
ZHONG Zhao-ping |
宁波市第六医院小儿骨科,浙江 宁波 315040 |
Department of Pediatric Orthopaedics,Ningbo No. 6 Hospital,Ningbo 315040,Zhejiang,China |
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| 曹进 |
CAO Jin |
宁波市第六医院小儿骨科,浙江 宁波 315040 |
Department of Pediatric Orthopaedics,Ningbo No. 6 Hospital,Ningbo 315040,Zhejiang,China |
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| 任荣 |
REN Rong |
宁波市第六医院小儿骨科,浙江 宁波 315040 |
Department of Pediatric Orthopaedics,Ningbo No. 6 Hospital,Ningbo 315040,Zhejiang,China |
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| 彭琳瑞 |
PENG Lin-rui |
宁波市第六医院小儿骨科,浙江 宁波 315040 |
Department of Pediatric Orthopaedics,Ningbo No. 6 Hospital,Ningbo 315040,Zhejiang,China |
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| 陈秋 |
CHEN Qiu |
宁波市第六医院小儿骨科,浙江 宁波 315040 |
Department of Pediatric Orthopaedics,Ningbo No. 6 Hospital,Ningbo 315040,Zhejiang,China |
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| 期刊信息：《中国骨伤》2009年22卷，第1期，第27-28页 |
| DOI：doi:10.3969/j.issn.1003-0034.yyyy.nn.zzz |
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目的：探讨儿童肱骨髁上骨折伴神经损伤的临床特点及治疗策略。
方法：对2000年6月至2006年12月收治的28例肱骨髁上骨折伴神经损伤的患儿进行总结分析，所有骨折均为Gartland Ⅲ型，其中闭合性损伤24例，开放性损伤4例。16例(A组)行闭合复位穿针固定，12例(B组)行骨折切开复位并神经探查。切开手术者发现8例神经为挫伤，3例为嵌顿伤，1例为断裂伤。
结果：28例神经功能均完全恢复，其中闭合复位穿针者4～6周内恢复13例， 8～10周2例，12周1例；切开手术者神经功能恢复4～6周6例， 8～10周3例，12～16周3例。
结论：儿童肱骨髁上骨折伴神经损伤者，大部分损伤的神经功能可以在骨折闭合复位后逐步恢复，但必要时切开复位、神经探查、修复，同样有重要的现实意义。 |
| [关键词]:肱骨髁上骨折 神经损伤 儿童 临床方案 |
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| The therapeutic strategy of humeral supracondylar fracture with never injury in children |
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Abstract:
Objective: To determine the clinical features and therapeutic strategy of humeral supracondylar fractures with nerve injuries in children.
Methods: From June 2000 to December 2006,28 patients of humeral supracondylar fracture(Gartlang Ⅲ)with never injuries were analyzed. Twenty-four patients were close injuries and the others were open. Sixteen cases(group A)were treated with close reduction and K-wires fixation. Twelve cases(group B)were treated with open reduction and nerve exploration,among them,contusive nerve injuries in 8 cases,incarceration in 3,complete neurotmesis in 1.
Results: The symptoms of nerve injuries of 28 cases recovered completely within 4 to 6 weeks in 13 cases,8 to 10 weeks in 2 cases and 12 weeks in 1 case in group A,meanwhile,within 4 to 6 weeks in 6 cases,8 to 10 weeks in 3 cases and 12 to 16 weeks in 3 cases in group B.
Conclusion: Most nerve injuries in humeral supracondylar fractures in children can be cured after close reduction of the fracture. Sometimes,open reduction and nerve exploration are necessary,which has important practical significance. |
| KEYWORDS:Humeral supracondylar fractures Nerve injury Children Clinical protocols |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 仲肇平,曹进,任荣,彭琳瑞,陈秋.儿童严重移位肱骨髁上骨折伴神经损伤的治疗策略[J].中国骨伤,2009,22(1):27~28 |
| 英文格式: | ZHONG Zhao-ping,CAO Jin,REN Rong,PENG Lin-rui,CHEN Qiu.The therapeutic strategy of humeral supracondylar fracture with never injury in children[J].zhongguo gu shang / China J Orthop Trauma ,2009,22(1):27~28 |
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