关于治疗儿童桡骨颈骨折两种内固定方式的比较

Comparison of Two Internal Fixation Methods for Radial Neck Fractures in Children

摘要: 目的：比较克氏针内固定和髓内针内固定治疗儿童桡骨颈的手术耗时、是否进行撬拨复位、切开复位的概率、出血量、住院时间及费用及术后肘关节功能。方法：回顾性分析40例儿童桡骨颈骨折的临床资料，根据手术方式的不同，分克氏针内固定组(n = 24)和髓内针内固定组(n = 16)。结果：髓内针固定组的手术耗时，出血量多于克氏针固定组，差异有统计学意义(P < 0.05)，且髓内针固定组切开复位的概率大于克氏针内固定组，两者进行撬拨复位的概率大致相等；髓内针固定组的住院总费用及一次性耗材费用均多于克氏针固定组，差异有统计学意义(P < 0.05)，两组肘关节功能恢复无明显差异(P > 0.05)。结论：在达到相同治疗效果的前提下，髓内针固定组的手术时间长于克氏针固定组，术中出血量要多于克氏针固定组，切开复位的概率更大。髓内针组的治疗费用要多于克氏针固定组。

Abstract: Objective: To compare the operation time, pry reduction, open reduction probability, blood loss, hospital stay and cost between Kirschner wire internal fixation and intramedullary wire internal fixation in the treatment of radial neck in children with the same efficacy. Methods: The clinical data of 40 children with radial neck fractures were retrospectively analyzed. According to the different surgical methods, they were divided into the Kirschner wire internal fixation group (n = 24) and the intramedullary wire internal fixation group (n = 16). Results: The operation time of intramedullary wire fixation group was longer than that of Kirschner wire fixation group, and the difference was statistically significant (P < 0.05). The probability of open reduction in the intramedullary needle fixation group was greater than that in the Kirschner wire fixation group, and the probability of pry reduction was approximately equal between the two groups. The total hospitalization expenses and disposable consumables expenses of the intramedullary needle fixation group were higher than those of the Kirschner wire fixation group, and the differences were statistically significant (P < 0.05). There was no significant difference in elbow function recovery between the two groups (P > 0.05). Conclusions: Under the premise of achieving the same treatment effect, the operation time of the intramedullary needle fixation group is longer than that of the Kirschner wire fixation group, the intraoperative blood loss is more than that of the Kirschner wire fixation group, and the probability of open reduction is greater. Treatment costs were higher in the intramedullary needle group than in the Kirschner wire group.