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目的分析不同内固定方式治疗大龄儿童尺桡骨双骨折的临床效果。方法 88例尺桡骨双骨折大龄患儿,随机分为观察组和对照组,各44例,观察组患儿使用弹性钉插钉技术治疗;对照组患儿采用钢板固定治疗,对比分析两组患儿的治疗总有效率以及术后感染情况。结果在采用不同方式治疗后,观察组治疗总有效率为95.5%(42/44),对照组治疗总有效率为88.6%(39/44),治疗效果比较差异无统计学意义(P>0.05);观察组无感染情况发生,对照组3例患儿并发感染以及骨不愈合,占6.8%(3/44)。结论在对尺桡骨双骨折患儿进行治疗的过程中,弹性髓内钉以及钢板内固定均能达到满意的治疗效果,但弹性髓内钉发生感染率低,手术时间短,更值得广泛应用。
Objective To analyze the clinical effect of different internal fixation in the treatment of ulna and radius double fractures in older children. Methods A total of 88 elderly patients with ulna and radius fractures were randomly divided into observation group and control group, 44 cases in each group. The children in observation group were treated with elastic stapling technique. The control group was treated with plate fixation. Children’s total effective rate of treatment and postoperative infection. Results After the treatment with different methods, the total effective rate was 95.5% (42/44) in the observation group and 88.6% (39/44) in the control group, with no significant difference in the treatment effect (P> 0.05 ). No infection occurred in the observation group. In the control group, 3 cases were complicated with infection and nonunion, accounting for 6.8% (3/44). Conclusions During the treatment of ulnar and ulna fractures in children, both elastic intramedullary nailing and internal fixation of plate can achieve satisfactory therapeutic effect. However, the incidence of infection in flexible intramedullary nail is low and the operation time is short, so it is more widely used.