| Pavlik支具与Bryant牵引治疗婴儿股骨干骨折的比较 |
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Received:December 25, 2012
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| 作者 | Author | 单位 | Unit | E-Mail |
| 王朝南 |
WANG Chao-nao |
温州医学院附属第二医院骨科, 浙江 温州 325027 |
Department of Orthopaedics, the Second Affiliated Hospital of Medical College of Wenzhou, Wenzhou 325027, Zhejiang, China |
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| 易先宏 |
YI Xian-hong |
温州医学院附属第二医院骨科, 浙江 温州 325027 |
Department of Orthopaedics, the Second Affiliated Hospital of Medical College of Wenzhou, Wenzhou 325027, Zhejiang, China |
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| 唐慧斌 |
TANG Hui-bin |
温州医学院附属第二医院骨科, 浙江 温州 325027 |
Department of Orthopaedics, the Second Affiliated Hospital of Medical College of Wenzhou, Wenzhou 325027, Zhejiang, China |
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| 周进峰 |
ZHOU Jin-feng |
温州医学院附属第二医院骨科, 浙江 温州 325027 |
Department of Orthopaedics, the Second Affiliated Hospital of Medical College of Wenzhou, Wenzhou 325027, Zhejiang, China |
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| 陈建军 |
CHEN Jian-jun |
温州医学院附属第二医院骨科, 浙江 温州 325027 |
Department of Orthopaedics, the Second Affiliated Hospital of Medical College of Wenzhou, Wenzhou 325027, Zhejiang, China |
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| 张敬东 |
ZHANG Jing-dong |
温州医学院附属第二医院骨科, 浙江 温州 325027 |
Department of Orthopaedics, the Second Affiliated Hospital of Medical College of Wenzhou, Wenzhou 325027, Zhejiang, China |
wzfey@sina.com |
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| 期刊信息：《中国骨伤》2013年26卷，第10期，第867-870页 |
| DOI：10.3969/j.issn.1003-0034.2013.10.019 |
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目的: 比较Pavlik支具与Bryant牵引治疗婴儿股骨干骨折的住院时间、治疗费用、皮肤并发症、骨折愈合时间等情况,探讨最佳的治疗方案.
方法: 对2005年5月至2010年8月收治的42例婴儿闭合性股骨干骨折患者的临床资料进行回顾性分析. 采用Pavlik支具治疗23例(Pavlik组),男14例,女9例;年龄1～12个月,平均(5.5±2.4)个月;中上1/3段 16例,中段7例;横形骨折18例,斜形骨折5例. 采用Bryant牵引治疗19例(Bryant组),男15例,女4例;年龄2～12个月,平均(6.7±2.8)个月;中上1/3段 13例,中段6例;横形骨折12例,斜形骨折7例. 对两组患者的住院时间、治疗费用、皮肤并发症、骨折愈合时间及愈合情况、双下肢差异情况进行比较分析.
结果: 所有病例获随访,Pavlik组随访时间19～30个月(平均25.3个月),Bryant组随访时间17～28个月(平均23.7个月).住院时间、治疗费用在Pavlik组分别为(0.4±0.7) d,(2 147.7±64.9)元,在Bryant组分别为(27.1±2.2) d,(2 741.3±227.6)元,两组比较差异有统计学意义(P<0.05).Pavlik组无皮肤并发症,Bryant组出现皮肤水泡8例,两组比较差异有统计学意义(P<0.05).骨折愈合时间、双下肢差异在Pavlik组分别为(4.1±0.3)周,(6.3±4.1) mm,在Bryant组分别为(3.9±0.3)周,(7.6±4.3) mm,两组比较差异无统计学意义(P>0.05).骨折愈合情况:Pavlik组20例愈合,Bryant组18例愈合,两组比较差异无统计学意义(P>0.05).
结论: Pavlik支具治疗婴儿股骨干骨折在住院时间、治疗费用、皮肤并发症方面优于Bryant牵引. |
| [关键词]:股骨干骨折 婴儿 骨折固定术 牵引术 |
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| Comparison between Pavlik harness and Bryant traction for femoral shaft fractures in infants |
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Abstract:
Objective: To compare clinical effects between Pavlik harness and Bryant traction in treating femoral shaft fractures in infants,including the time of hospitalization,expense of treatment,complications,time of bone union.
Methods: From May 2005 to August 2010,the clinical data of 42 infants with femoral shaft fractures were retrospectively analyzed. Among the patients,23 cases were treated with Pavlik harness(Pavlik harness group),there were 14 males and 9 females,ranging in age from 1 to 12 months with an average of (5.5±2.4) months,including upper 1/3 segment of 16 cases and middle segment of 7 cases; transverse fracture of 18 cases and oblique fracture of 5 cases. The other 19 patients were treated with Bryant traction (Bryant traction group),there were 15 males and 4 females,ranging in age from 2 to 12 months with an average of (6.7±2.8) months,including upper 1/3 segment of 13 cases and middle segment of 6 cases;transverse fracture of 12 cases and oblique fracture of 7 cases. The time of hospitalization,expense of treatment,complications,time of bone union were analyzed in the patients.
Results: All patients were followed up with an average of 25.3 months(ranging from 19 to 30) in Pavlik harness group and 23.7 months(ranging from 17 to 28) in Bryant traction group. Time of hospitalization,expense of treatment in Pavlik harness group were respectively(0.4±0.7) d,(2147.7±64.9) yuan;and in Bryant traction group were respectively(27.1±2.2) d,(2741.3±227.6) yuan;there was significant difference between two groups(P<0.05). No complication was found in Pavlik harness group and 8 cases complicated with skin hydroa in Bryant traction group,there was significant difference between two groups(P<0.05). Time of bone union,difference of both lower extremities in Pavlik harness group were respectively(4.1±0.3)weeks,(6.3±4.1) mm;and in Bryant traction group were respectively (3.9±0.3) weeks,(7.6 ±4.3) mm; 20 cases got bone healing in Pavlik harness group and 18 cases got bone healing in Bryant traction group;there was no significant difference between two groups(P>0.05).
Conclusion: Compared with Bryant traction method,Pavlik harness method has obvious advantages in time of hospitalization,expense of treatment,complications in treating femoral shaft fractures in infants. |
| KEYWORDS:Femoral fractures Infant Fracture fixation Traction |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 王朝南,易先宏,唐慧斌,周进峰,陈建军,张敬东.Pavlik支具与Bryant牵引治疗婴儿股骨干骨折的比较[J].中国骨伤,2013,26(10):867~870 |
| 英文格式: | WANG Chao-nao,YI Xian-hong,TANG Hui-bin,ZHOU Jin-feng,CHEN Jian-jun,ZHANG Jing-dong.Comparison between Pavlik harness and Bryant traction for femoral shaft fractures in infants[J].zhongguo gu shang / China J Orthop Trauma ,2013,26(10):867~870 |
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