| 肱骨髁上骨折并发症98例临床分析 |
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摘要点击次数: 2041
全文下载次数: 1073
投稿时间：2000-08-28
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| 期刊信息：《中国骨伤》2001年，第14卷，第4期，第200-201页 |
| DOI：doi:10.3969/j.issn.1003-0034.yyyy.nn.zzz |
| 基金项目:国家自然科学基金资助项目(No.39300176) |
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中文摘要:
目的：探讨肱骨髁上骨折并发症发生率、发生原因及防治对策。
方法：对302例肱骨髁上骨折伴合并症的98例进行临床分析。
结果：血管损伤54例(551%),神经损伤23例(234%),感染4例(41%),肘内翻14例(143%),肘外翻3例(31%).
结论：血管损伤多为骨折断端刺激和压迫肱动脉,神经损伤由于神经挫伤、牵拉和压迫引起,感染系清创不彻底,肘内翻大部分系尺偏型骨折,肘外翻由于骨折矫正不当所致；合理的复位、良好的固定及正确的X线评价是防治并发症的重要措施。 |
| 【关键词】骨折,开放性 骨折,闭合性 并发症 |
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| Analysis of Complication Encoutered in 98 Cases of Supracondylar Fracture of the Humerus |
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ABSTRACT
Objective: To investigate the cause,incidence and the measures for prevention and management of complication of supracondylar fracture of the humerus.
Methods: Of the 302 cases of supracondylar fracture of humerus,the complication of 98 cases were analysed.ResultsVascular injuries occurred in 54 cases(55 1%),23 cases had nerve injury(23 4%),4 cases had infection(4 1%),14 cases had cubitus varus(14 3%) and 3 cubitus valgus(3 1%)
Conclusion: Vascular injury was mostly caused by trauma from the fractured ends or compression of the brachial artery and nerve injury mostly caused contusion or compression on the nerve fibers.Incomplete debride could lead to infection.Cubitus varus mostly related to the ulnar deviation of the fracture and cubitus valgus was owing to incorrect reduction of fracture.Satisfactory reduction,good fixation and X rays reviewuation are key points for the prevention and treatment to prevent complication of supracondylar fracture of humerus. |
| KEY WORDS Fractures open Fractures closed Complications |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 刘献祥,林木南,符臣学,张建新,陈鲁峰,吴少峰.肱骨髁上骨折并发症98例临床分析[J].中国骨伤,2001,14(4):200~201 |
| 英文格式: | LIU Xian Xiang,LIN Mu nan,FU Chen xue.Analysis of Complication Encoutered in 98 Cases of Supracondylar Fracture of the Humerus[J].zhongguo gu shang / China J Orthop Trauma ,2001,14(4):200~201 |
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