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1、儿童前臂双骨折的中西更结介治疗［摘耍］冃的:在儿童前臂双骨折治疗中，采用更适宜的治疗方案来提高治疗效果，以减少并发症。方法:选择76例5〜12岁的闭合移位前臂双骨折患儿其屮,60例不同类型的骨折行手法复位小夹板或石膏托外固定，不成功者给了手术治疗；16例早期直接行手术切开复位钢板螺丝钉或克氏针内固定，以后二次手术取出内固定物。结果：60例手法复位患儿屮，54例手法复位成功，成功率为90%,骨折愈合时间为33〜50d;6例手法复位不成功,行手术切开复位钢板螺丝钉内固定，愈合时间为80〜102do16例直接手术治疗的患儿屮，14例愈合时间为80〜160d,平均7〜12个月取出内固定物;1例伤示就
2、诊时间长，造成前臂肌间隔综合征，行手术切开减压加克氏针内固定，二期植皮，术后半年骨折愈合；1例尺骨骨不连，需再次手术重新内固定加植骨术，术后1年愈合。结论:儿童前臂双骨折早期行手法复位非常重耍，而旋转移位是前臂双骨折复位的难点，手术治疗不能作为首选,应充分运用中西医结合治疗骨折的理念,捉高治疗效果。［关键词］儿童;前臂双骨折;中四医结合治疗［中图分类号］R683.41［文献标识码］A［文章编号11673-7210(2010)03(a)-025-02IntegratedChineseandWesternmedicinetreatmentofdoubleforearmfracturesinchi
3、ldrenYANGDongliang,HUANGLi,WANGhide(TheChineseMedicineHospitalofXinhuiDistrictofJiangmenCity,GuangdongProvince,Jiangmen529100,China)［Abstract］Objective:Toevaluatethetreatmentofdoubleforearmfracturesinchildrenfortheadoptionofamoreappropriatetreatmentprogramstoreducecomplications.Methods:76casesof5-1
4、2-year-oldchildrenwithdoublecloseddisplacedfractureoftheforearmwereselected,ofwhich60childrenwithdifferenttypesoffracturesunderwentasmal1externalfixationsplintsorplaster,theunsuccessfulcasesunderwentsurgicaltreatment;16childrenunderwentearlydirectsurgicalopenreductionandplatefixationwithscrewsorKir
5、schnerwire,theinternalfixationwasremovedinthesecondoperation.Results:In60childrenofmanuaIreduction,54childrenobtainedsuccessfultreatment,thesuccessratewas90%,fracturehealingtimewas33to50days.6childrenofmanualreductionwereunsuccessful,andbeoperatedwithopenreductionandplatefixationscrews,fractureheal
6、ingtimewas80to102days.In16childrenofdirectsurgicaltreatment,14chiIdrenncededhealingtimeof80to160days,internalfixationwasremovedin7to12months;1childresultedintheforearmmusclesintervalsyndromedecompressionforalongtimeafterinjury,andhadtounderwentfixationwithKirschnerwireanddelayskingraft,thefracturew
7、ashealedafter6months;1childhadulnanonunionandneededre-operationfromthenewinternalfixationwithbonegraft,andthefracturewashealedafter1year.Conclusion:Childrenforearmfracturereductionshouldbemanuallyreducedine
