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目的:探讨桡骨小头半脱位的病因病机、好发年龄、诊断及防治。方法:对2008年1月至2014年12月期间诊治的70例桡骨小头半脱位患儿的病因、好发年龄、诊断及治疗进行回顾性分析。结果:70例桡骨小头半脱位患儿中:男39例(55.7%),女31例(44.3%);单侧脱位69例(98.6%),其中左侧脱位42例,右侧脱位27例。双侧脱位1例(1.4%)。5例(7.14%)为误诊、漏诊病例。脱位原因:提拉伤53例(75.7%),患儿翻身挤压伤5例(7.1%),创伤12例(17.2%)。发病年龄:最小6个月,最大9岁,其中小于1岁者8例(11.4%),1~5岁57例(81.4%),大于6岁者5例(7.1%)。就诊时间:24h以内59例(84.3%),24~72h以内8例(11.4%),大于72h3例(4.3%)。69例(98.6%)脱位后一次复位成功,1例(1.4%)经过二次复位成功,无1例复发。结论:桡骨小头半脱位多见于1~5岁儿童,多为提拉所致,正确诊断下手法复位容易、效果好,加强宣教可减少本病发生。
Objective: To explore the etiology and pathogenesis of radial head subluxation, the incidence of age, diagnosis and prevention. Methods: Retrospective analysis was performed on the etiology, age of onset, diagnosis and treatment of 70 children with radial head subluxation diagnosed and treated from January 2008 to December 2014. Results: Among 70 children with radial head subluxation, there were 39 males (55.7%) and 31 females (44.3%), 69 cases (98.6%) had unilateral dislocation, including 42 cases of left dislocation and 27 cases of right dislocation example. Bilateral dislocation in 1 case (1.4%). Five cases (7.14%) were misdiagnosed and missed cases. Dislocation causes: pulling injury in 53 cases (75.7%), crush injury in 5 cases (7.1%), trauma in 12 cases (17.2%). The age of onset was 6 months minimum and 9 years old at maximum. Among them, 8 (11.4%) were younger than 1 year, 57 (81.4%) were 1-5 years old and 5 (7.1%) were older than 6 years old. The treatment time was 59 cases (84.3%) in 24h, 8 cases (11.4%) in 24 ~ 72 hours and 3 cases (4.3%) in more than 72 hours. 69 cases (98.6%) were successfully reset after dislocation, and 1 case (1.4%) had been successfully reset by two times without recurrence. Conclusion: Radial head subluxation more common in children aged 1 to 5 years, mostly due to pulling, the correct diagnosis of the next approach easy to reset, the effect is good, to strengthen the mission can reduce the occurrence of the disease.