不同方式治疗儿童尺桡骨移行区骨折的疗效分析

雄 陈(广西壮族自治区妇幼保健院，中国)
汝彪 邱(广西壮族自治区妇幼保健院，中国)
彦辛 招(广西壮族自治区妇幼保健院，中国)
超会 范(广西壮族自治区妇幼保健院，中国)
嘉波 陈(广西壮族自治区妇幼保健院，中国)

摘要

目的：比较顺行弹性髓内钉和克氏针在儿童严重移位的尺桡骨移行区骨折固定中的疗效。方法：回顾性分析自2019年1月至2024年1月我科符合治疗病例52例，A组为从“安全区”置钉入路的顺行髓内钉固定23例，B组为克氏针固定29例。通过手术时间、术后并发症、术后复查情况以及腕关节功能评分对比分析临床疗效。结果：A组手术时间（58.91 ±2.55分钟）与B组手术时间（72.93 ±4.90分钟）相比，P=0.023。B组29例中有4例出现钉道口感染，骨折再移位2例。A组无明显并发症。末次随访时腕功能Mayo评分A组88.60 ± 0.73，B组87.20 ± 0.69，P=0.1834。结论：治疗儿童严重移位的尺桡骨远端移行区骨折，A组与B组相比，手术时间更短、术后并发症更少，是治疗该类骨折的更有效方法。

关键词

儿童骨折；尺桡骨；弹性髓内钉；克氏针

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DOI: http://dx.doi.org/10.12345/yzlcyxzz.v8i6.29019