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复习肱骨髁上骨折中神经损伤的治疗经验以指导临床工作。共收治８６例肱骨髁上骨折伴神经损伤病例，其中桡神经损伤４７例次，尺神经损伤３例次，正中神经损伤５０例次。因Ｘ线片上均有骨折移位及明显的旋转和短缩，多数患儿采取了非手术治疗。随访的５０例神经损伤病例中，４６例（９２％）经非手术治疗，神经功能恢复。４例（８％）手术探查后恢复功能。因此，移位型肱骨髁上骨折伴神经损伤应以保守治疗为主。挠神经损伤的恢复可观察３个月，正中神经损伤可观察２个月，超过恢复时限后应积极进行肌电图检查和手术治疗。
Review of the treatment of neural injury in supracondylar humerus fractures to guide clinical work. A total of 86 cases of supracondylar fractures of the humerus accompanied with nerve injury cases, of which 47 cases of radial nerve injury, ulnar nerve injury in 3 cases, 50 cases of median nerve injury. Because of X-ray fracture displacement and significant rotation and shortening, most children have taken non-surgical treatment. Of the 50 cases of neurological injury that followed, 46 (92%) were non-operative and their neurological function recovered. Four patients (8%) recovered after surgical exploration. Therefore, the displaced humeral supracondylar fracture with nerve injury should be based on conservative treatment. The recovery of flexible nerve injury can be observed for 3 months, median nerve injury can be observed for 2 months, beyond the time limit for recovery should be actively carried out after EMG and surgical treatment.