【摘要】 目的 通过对小儿肱骨髁上骨折采用手术与非手术治疗出现肘内翻的概率比较，探讨该类骨折治疗方式的选择。方法 回顾性分析从1988年2月～2003年5月间治疗187例肱骨髁上骨折，其中得以回访143例。采用手术治疗共79例，非手术组64例。结果 手术组出现肘内翻17例，占21.5%，非手术治疗出现肘内翻15例，占23.4%。结论 小儿肱骨髁上骨折采取手术与非手术治疗出现肘内翻的概率无统计学意义，不能随意扩大肱骨髁上骨折的手术指征。

    【关键词】 肱骨髁上骨折；手术；非手术；治疗结果

    【Abstract】 Objective To compare cubitus varus or eversion ratio after operation or nonoperation treatment applied in children supracondylar humerus fracture,to explore the better therapy,to this kind of fracture.Methods Analysed 187 cases cured during Feb.1988 and May 2003 retrospectively. 143 cases can be followed up. Results 17 cases are cubitus varus in operative group,taking up 21.5%.15 cases are varus in nonoperative group,taking up 23.4%. Conclusion There is no statistical meaning to decide whether operative or nonoperative treatment is better by comparing the varus or eversion ratio.So we should not amplify operation indication easily.

    【Key words】 supracondylar fracture;operative treatment;nonoperative treatment;outcome of therapy

    肱骨髁上骨折多见于儿童 ......