电邮这篇文章 肘关节骨折的后果在儿童中的研究
- 作者: Zorin V.I.1,2, Lukyanov S.A.1,2, Grybok D.Y.1
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隶属关系:
- H. Turner National Medical Research Center for Сhildren’s Orthopedics and Trauma Surgery
- North-Western State Medical University named after I.I. Mechnikov
- 期: 卷 12, 编号 4 (2024)
- 页面: 419-426
- 栏目: Clinical studies
- URL: https://ogarev-online.ru/turner/article/view/282511
- DOI: https://doi.org/10.17816/PTORS636376
- ID: 282511
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详细
背景。肘关节骨折是儿童中最常见的骨折类型之一。尽管在处理这些损伤的专业帮助方面已进行过方法学的研究，临床实践中仍然常见负面的解剖学和功能性结果。
研究目的。分析儿童肘关节骨折的后果，评估原发性损伤的结构和初始治疗策略。
材料与方法。基于纳入标准，形成了回顾性队列（n = 115）。分析了2022-2023年间住院于俄罗斯卫生部下属的“G.I. Turner儿童创伤学与骨科研究中心”并接受外科治疗的肘关节骨折后果的临床、 病史和影像学数据。对定量指标采用Shapiro-Wilk检验（样本量少于50）或Kolmogorov-Smirnov检验（样本量超过50）进行正态分布检验。对于多变量列联表中的百分比，通过皮尔逊卡方检验进行比较。
结果。分析样本中的患者平均年龄为11岁（4至17岁）。受伤时间为15.6 ± 1个月（最小值 = 3， 最大值 = 65）。后果分组中确定了三组：挛缩42例（36.5%）、变形31例（27%）、挛缩和变形42例（36.5%）。原发性损伤的结构中，以肱骨髁上骨折（40%）和内侧髁突的骨骺分离（31%）为主。 82名患者（71%）接受了初步保守治疗，33名患者（29%）接受了初步手术治疗；其中17例病例从保守治疗转为外科治疗。31名患者（27%）接受了重复手术治疗。
结论。在儿童肘关节骨折的负面后果中，挛缩占主导地位。分析组的初步治疗策略（如保守治疗） 和重复手术治疗表明，改善儿童创伤治疗专家的培养仍然是当务之急。尽管已有现代化的治疗算法，诊断错误、治疗策略问题以及手术操作技术错误仍然是目前造成负面结果的主要原因。
作者简介
Vyacheslav I. Zorin
H. Turner National Medical Research Center for Сhildren’s Orthopedics and Trauma Surgery; North-Western State Medical University named after I.I. Mechnikov
编辑信件的主要联系方式.
Email: zoringlu@yandex.ru
ORCID iD: 0000-0002-9712-5509
SPIN 代码: 4651-8232
MD, PhD, Cand. Sci. (Medicine), Associate Professor
俄罗斯联邦, Saint Petersburg; Saint PetersburgSergey A. Lukyanov
H. Turner National Medical Research Center for Сhildren’s Orthopedics and Trauma Surgery; North-Western State Medical University named after I.I. Mechnikov
Email: Sergey.lukyanov95@yandex.ru
ORCID iD: 0000-0002-8278-7032
SPIN 代码: 3684-5167
MD, PhD, Cand. Sci. (Medicine)
俄罗斯联邦, Saint Petersburg; Saint PetersburgDaniil Yu. Grybok
H. Turner National Medical Research Center for Сhildren’s Orthopedics and Trauma Surgery
Email: fromcrypt.exe@gmail.com
ORCID iD: 0009-0001-3147-3658
俄罗斯联邦, Saint Petersburg
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