摘要目的 评价切开复位钢板内固定术和闭合或切开复位外固定架术对于治疗儿童前臂远端骨折的治疗效果.方法 选取2010年7月至2013年9月河南省南阳市中心医院小儿外科手术治疗前臂远端尺桡骨骨折的患儿89例,其中选择切开复位钢板内固定治疗的患儿46例,选择闭合或切开复位外固定架治疗的患儿43例.根据选择手术时间、手术出血量、切口长度、住院时间、骨折愈合时间、术后并发症和Berton评价标准进行评价.结果 外固定架组在手术时间、手术出血量、切口长度、骨折愈合时间、术后并发症和Berton评价标准方面优于内固定组,差异有统计学意义(69.6％比88.4％,21.7％比11.6％,8.7比0,P＜1.05).而在住院时间差异无统计学意义[(9.8±1.1)d比(10.2±1.4)d,P＞1.05].结论 儿童前臂远端骨折使用外固定架治疗,由于操作简单,损伤较小,术后功能恢复较好,是一种较好的手术方式.

abstractsObjective To explore the treatment outcomes of plate internal and external fixations for distal forearm fractures in children.Methods From July 2010 to September 2013,a total of 89 children were operated for distal forearm ulnar and radial fractures,including plate fixation (n =46) and external fixation (n =43).Two groups were evaluated in terms of operative duration,bleeding volume,length of incision,hospitalization length,fracture healing time,postoperative complications and Berton evaluation criteria.Results As compared with internal fixation group,external fixation group fare better in operative duration,bleeding volume,operation incision length,fracture healing time and postoperative complications with significant differences (P ＜ 0.05).And the hospitalization time had no significant difference (P ＞0.05).Conclusion Treating distal forearm fractures with external fixation offers the advantages of simpler handling,lesser injury and better postoperative functional recovery in children.