彩超在儿童前臂骨折复位中的应用

betway必威登陆网址（betway.com ）学报››2022,Vol. 43››Issue (9): 687-691.DOI:10.3969/j.issn.2097-0005.2022.09.005

彩超在儿童前臂骨折复位中的应用

李梓轩¹(), 王晶², 宋波², 吴茂军²()

^1.betway必威登陆网址（betway.com ）研究生部，山东济南 250017
^2.betway必威登陆网址第二附属医院小儿外科，山东泰安 271000

收稿日期:2022-04-25出版日期:2022-09-25发布日期:2022-11-03
通讯作者:吴茂军
作者简介:李梓轩，硕士研究生，研究方向：小儿外科，E-mail：15650515671@163.com。
基金资助:
泰安市科技创新发展项目(2020NS248)

Application of color doppler ultrasound in reduction of forearm fracture in children

Zixuan LI¹(), Jing WANG², Bo SONG², Maojun WU²()

^1.Graduate Department，Shandong First Medical University & Shandong Academy of Medical Sciences，Jinan 250017，China
^2.Department of Pediatric Surgery，The Second Affiliated Hospital of Shandong First Medical University，Taian 271000，China

Received:2022-04-25Online:2022-09-25Published:2022-11-03
Contact:Maojun WU

摘要/Abstract

摘要：

目的探讨彩超辅助下儿童尺桡骨骨折手法复位并石膏外固定术的可行性。方法选取确诊尺桡骨骨折患儿共60例。将患儿分为超声组、对照组，每组30例。超声组使用彩超辅助下闭合复位石膏固定，对照组采用常规手法复位石膏固定，比较两组闭合复位成功率、初次闭合复位成功率、骨折愈合时间、并发症发生情况以及康复后前臂功能恢复情况。结果超声组初次闭合复位成功率明显高于对照组，愈合时间明显短于对照组，差异有统计学意义（P< 0.05）。两组闭合复位成功率、延迟愈合发生率、畸形愈合发生率、再骨折发生率、术后前臂Anderson功能评分等，差异无统计学意义（P> 0.05）。结论儿童前臂骨折手法复位石膏固定中应用彩超辅助，可提高初次闭合复位成功率，缩短骨折愈合时间，且无放射性损伤，值得临床推广应用。

关键词:前臂骨折,儿童,肌骨超声,手法复位

Abstract:

ObjectiveTo investigate the feasibility of manual reduction and plaster external fixation of ulna and radius fractures in children assisted by color doppler ultrasound and manual reduction and intramedullary pin fixation.MethodsSixty cases of ulna and radius fracture were diagnosed by x-ray. The children were divided into A and B groups. Closed reduction and plaster fixation （Group A，n= 30） were performed with the aid of color doppler ultrasound， and compared the success rate of closed reduction， the success rate of primary closed reduction， the healing time of fracture， the complications and the recovery of forearm function with Group B of conventional manual reduction and plaster fixation （Group B，n= 30）.ResultsIn the 60 cases of forearm fracture treated by manual reduction and plaster fixation， there were significant differences in the success rate of primary closed reduction， the healing time between Group A and the control group （P< 0.05） . There was no significant difference in the success rate of closed reduction， the rate of delayed healing， the rate of malunion， the rate of refracture and the Anderson Function Score （P> 0.05） .ConclusionThe application of color doppler ultrasound in the manipulative reduction and plaster fixation of forearm fracture in children can improve the success rate of the first closed reduction and shorten the time of fracture healing. The advantage of no radiation injury is worthy of clinical study

Key words:forearm fractures,children,muscle bone ultrasound,manual reduction

李梓轩, 王晶, 宋波, 吴茂军. 彩超在儿童前臂骨折复位中的应用[J]. betway必威登陆网址（betway.com ）学报, 2022, 43(9): 687-691.

Zixuan LI, Jing WANG, Bo SONG, Maojun WU. Application of color doppler ultrasound in reduction of forearm fracture in children[J]. Journal of Shandong First Medical Unversity & Shandong Academy of Medical Sciences, 2022, 43(9): 687-691.

图/表3

图1术中使用超声进行闭合复位

表1Anderson评分标准

分级	前臂屈伸功能	前臂旋前/旋后功能
优	丧失< 10%	> 正常的75%
良	丧失10% ~ 20%	正常的50% ~ 75%
中	丧失> 30%	< 正常的50%
差	骨折不愈合伴或不伴前臂运动丧失

图25岁患儿使用超声引导桡骨骨折闭合复位手术前后超声及X线图像对比A为术前超声图像；B为术后超声图像，可见皮质强回声带恢复连续性；C为术前前臂X线图像；D为术后前臂X线图像；E为术后6周前臂X线侧位图像；F为术后6周X线正位图像

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