| 高频超声在儿童不稳定尺桡骨骨折靶向引导弹性髓内钉内固定中的应用 |
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| 引用本文： | 赵 丽,赵胜军,金宝城,杜 歌,吴文瑛,冯佩明,王晓岩,李义学,刘会玲. 高频超声在儿童不稳定尺桡骨骨折靶向引导弹性髓内钉内固定中的应用[J]. 大连医科大学学报, 2016, 38(4): 352-355. DOI: 10.11724/jdmu.2016.04.09 |
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| 作者姓名： | 赵 丽 赵胜军 金宝城 杜 歌 吴文瑛 冯佩明 王晓岩 李义学 刘会玲 |
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| 作者单位： | 1. 承德医学院附属医院 超声科,河北承德,067000;2. 承德市中心医院 骨二科,河北承德,067000;3. 首都医科大学附属北京地坛医院顺义院区 肿瘤科,北京,101313 |
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| 摘 要： | 目的 探讨高频超声术中引导儿童不稳定尺桡骨骨折闭合复位弹性髓内钉内固定的应用价值.方法 收集承德医学院附属医院2009年10月至2014年10月收治的60例儿童不稳定尺桡骨骨折闭合复位弹性髓内钉内固定的临床资料.实验组30例,术中应用高频超声引导骨折闭合复位弹性髓内钉内固定,C型臂最终透视确定.对照组30例,术中应用C型臂透视引导骨折闭合复位弹性髓内钉内固定术.手术均由同一组医生团队完成.对两组手术时间、出血量、射线暴露及初次闭合复位成功率进行比较分析.结果 实验组全部实现闭合复位内固定,无血管及神经损伤,C型臂最终透视确定复位及内固定位置满意.实验组与对照组相比,手术时间短[(22.23±3.95) min vs.(29.03±5.42) min],出血量少[(18.30 ±4.48) mL vs.(29.40 ±7.17) mL],射线暴露次数少[(1.80±0.50)次vs.(6.10±1.60)次],初次闭合复位成功率高(83.3％ vs.63.3％),差异均有显著性意义,P＜0.05.结论 高频超声可动态观察骨折形态及内固定通过骨折断端的位置,射线暴露次数少,术中初次复位成功率高,临床疗效满意,有很好的临床应用价值.
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| 关 键 词： | 儿童 尺桡骨骨折 高频超声 闭合复位 |
| 收稿时间： | 2016-04-25 |
Application of ultrasound in guiding elastic intramedullary nail fixation for children with unstable forearm fractures |
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| ZHAO Li,ZHAO Sheng-jun,JIN Bao-cheng,DU Ge,WU Wen-ying,FENG Pei-ming,WANG Xiao-yan,LI Yi-xue and LIU Hui-ling. Application of ultrasound in guiding elastic intramedullary nail fixation for children with unstable forearm fractures[J]. Journal of Dalian Medical University, 2016, 38(4): 352-355. DOI: 10.11724/jdmu.2016.04.09 |
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| Authors: | ZHAO Li ZHAO Sheng-jun JIN Bao-cheng DU Ge WU Wen-ying FENG Pei-ming WANG Xiao-yan LI Yi-xue LIU Hui-ling |
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| Affiliation: | Department of Ultrasound, Affiliated Hospital of Chengde Medical College, Chengde 067000, China;,Second Department of Orthopedics, the Central Hospital of Chengde, Chengde 067000, China;,Second Department of Orthopedics, the Central Hospital of Chengde, Chengde 067000, China,Department of Oncology, Beijing Ditan Hospital(Shunyi Campus), Capital Medical University, Beijing 101313, China,Department of Ultrasound, Affiliated Hospital of Chengde Medical College, Chengde 067000, China,Department of Ultrasound, Affiliated Hospital of Chengde Medical College, Chengde 067000, China,Department of Ultrasound, Affiliated Hospital of Chengde Medical College, Chengde 067000, China,Department of Ultrasound, Affiliated Hospital of Chengde Medical College, Chengde 067000, China and Department of Ultrasound, Affiliated Hospital of Chengde Medical College, Chengde 067000, China |
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| Abstract: | |
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| Keywords: | children forearm fracture ultrasound closed reduction |
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