骨折不同治疗时间对移位型肱骨髁上骨折患者切开复位、并发症和临床结局的影响(1)
【摘 要】
目的：本研究觀察分析发生肱骨髁上骨折儿童患者在不同的治疗时间的各项指标，分析治疗时间对于患者切开复位、并发症和临床结局的影响。方法：收集2010年～2017年的肱骨髁上骨折手术的患儿200名，进行回顾性分析。不同治疗时间对移位型肱骨髁上骨折患者切开复位、并发症和临床结局是的影响使用logistic回归分析。结果：开放性手术在343例髁上肱骨骨折中的发生率为2.6%。并发症发生率与文献(10.8%)相似，主要由瞬时神经损伤(9.0%)组成，所有这些都通过保守治疗完全可逆。1.7%的患者出现不良预后。手术治疗延迟对开放手术率(P = 0.662)，并发症(P = 0.365)或不良结局(P = 0.942)没有影响。结论：在SCHF有足够的血液灌输且神经功能稳定时，选择性治疗，避免在半夜进行外科手术对于医生和患者都是最好的选择。
【关键词】 儿童；肱骨髁上骨折；延期治疗；切开复位；并发症
, 百拇医药
【中图分类号】R726.8
【文献标志码】B
【文章编号】1005-0019(2018)21-020-01
Displaced supracondylar humeral fractures：influence of delay of surgery on the incidence of open reduction， complications and outcome
LI Jong1 ZHOU Jun2
1.department of orthopedics， Dingxing County Hospital For Hebei province ， 072650 china
, 百拇医药
2.department of orthopedics， Gem Flower Oriental Hospital For Baoding ， Heibei Xushui 072550 ， china
Abstract Objective： This study was used to collect the indicators of different treatment time happened on the children displaced supracondylar humeral fractures， then analyze the influence of delay of surgery on the incidence of open reduction， complications and outcome. Methods：Three hundred and forty-one children with 200 supracondylar humeral fractures (Gartland II：144； Gartland III：199) who underwent surgery between 2010and 2017 were retrospectively analysed. The group consisted of 194 males and 149 females. The average age was 6.3 years. Mean follow-up was 6.2 months. Time interval between trauma and surgical intervention was determined using our institutional database. Clinical and radiographical data were collected for each group. Influence of delay of treatment on rates of open reduction， complications and outcome was calculated using logistic regression analysis. Results：The incidence of open procedures in 343 supracondylar humeral fractures was 2.6 %. Complication rates were similar to the literature (10.8 %) primarily consisting of transient neurological impairments (9.0 %) which all were fully reversible by conservative treatment. Poor outcome was seen in 1.7 % of the patients. Delay of surgical treatment had no influence on rates of open surgery (P = 0.662)， complications (P = 0.365) or poor outcome (P = 0.942).Conclusions：In SCHF with suffcient blood perfusion and nerve function， elective treatment is reasonable to avoid surgical interventions in the middle of the night which are stressful and wearing both for patients and for surgeons.
Key words：Children； Supracondylar humeral fracture； Delay of treatment； Open reduction； Complications, 百拇医药(李炯周军)
目的：本研究觀察分析发生肱骨髁上骨折儿童患者在不同的治疗时间的各项指标，分析治疗时间对于患者切开复位、并发症和临床结局的影响。方法：收集2010年～2017年的肱骨髁上骨折手术的患儿200名，进行回顾性分析。不同治疗时间对移位型肱骨髁上骨折患者切开复位、并发症和临床结局是的影响使用logistic回归分析。结果：开放性手术在343例髁上肱骨骨折中的发生率为2.6%。并发症发生率与文献(10.8%)相似，主要由瞬时神经损伤(9.0%)组成，所有这些都通过保守治疗完全可逆。1.7%的患者出现不良预后。手术治疗延迟对开放手术率(P = 0.662)，并发症(P = 0.365)或不良结局(P = 0.942)没有影响。结论：在SCHF有足够的血液灌输且神经功能稳定时，选择性治疗，避免在半夜进行外科手术对于医生和患者都是最好的选择。
【关键词】 儿童；肱骨髁上骨折；延期治疗；切开复位；并发症
, 百拇医药
【中图分类号】R726.8
【文献标志码】B
【文章编号】1005-0019(2018)21-020-01
Displaced supracondylar humeral fractures：influence of delay of surgery on the incidence of open reduction， complications and outcome
LI Jong1 ZHOU Jun2
1.department of orthopedics， Dingxing County Hospital For Hebei province ， 072650 china
, 百拇医药
2.department of orthopedics， Gem Flower Oriental Hospital For Baoding ， Heibei Xushui 072550 ， china
Abstract Objective： This study was used to collect the indicators of different treatment time happened on the children displaced supracondylar humeral fractures， then analyze the influence of delay of surgery on the incidence of open reduction， complications and outcome. Methods：Three hundred and forty-one children with 200 supracondylar humeral fractures (Gartland II：144； Gartland III：199) who underwent surgery between 2010and 2017 were retrospectively analysed. The group consisted of 194 males and 149 females. The average age was 6.3 years. Mean follow-up was 6.2 months. Time interval between trauma and surgical intervention was determined using our institutional database. Clinical and radiographical data were collected for each group. Influence of delay of treatment on rates of open reduction， complications and outcome was calculated using logistic regression analysis. Results：The incidence of open procedures in 343 supracondylar humeral fractures was 2.6 %. Complication rates were similar to the literature (10.8 %) primarily consisting of transient neurological impairments (9.0 %) which all were fully reversible by conservative treatment. Poor outcome was seen in 1.7 % of the patients. Delay of surgical treatment had no influence on rates of open surgery (P = 0.662)， complications (P = 0.365) or poor outcome (P = 0.942).Conclusions：In SCHF with suffcient blood perfusion and nerve function， elective treatment is reasonable to avoid surgical interventions in the middle of the night which are stressful and wearing both for patients and for surgeons.
Key words：Children； Supracondylar humeral fracture； Delay of treatment； Open reduction； Complications, 百拇医药(李炯周军)
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