中医正骨手法配合微创手术治疗幼儿胫腓骨骨折严重移位的疗效及安全性.pdfVIP

CHINESECOMMUNITYDOCTORS 论著·社区中医药 中医正骨手法配合微创手术 治疗幼儿胫腓骨骨折严重移位的疗效及安全性 叶华 402560重庆铜梁区中医院骨科一病区 doi:10.3969/j.issn.1007-614x.2015.11.42 摘 要 目的：研究中医正骨手法配合微创手术治疗幼儿胫腓骨骨折严重移位的疗效及安全性，探讨其临床适用性。 方法：将52例严重移位胫腓骨骨折患儿分为试验组30例和对照组22例。试验组中医正骨手法配合微创手术治疗；对 照组常规治疗。记录术中及术后有关指标，比较疗效。结果：试验组出血量少，手术时间、骨折愈合的时间和开始负 重的时间均短于对照组，差异有统计学意义(P＜0.05)。对照组并发症发生率25.62%，试验组12.40%，差异有统计学意 义(P＜0.05)。结论：中医正骨手法配合微创手术治疗幼儿胫腓骨骨折严重移位疗效好、安全性高，值得推广应用。 关键词 中医正骨；微创手术；幼儿胫腓骨骨折 Curative effect and safety of traditional Chinese medicine bone-setting manipulation combined with minimally invasivesurgeryinthetreatmentofyoungchildrentibiofibulafracturesseriousdisplacement YeHua TheFirstWard,DepartmentofOrthopaedics,TongliangDistrictTraditionalChineseMedicineHospitalofChongqing402560 Abstract Objective:TostudythecurativeeffectandsafetyoftraditionalChinesemedicinebone-settingmanipulationcombined withminimallyinvasivesurgeryinthetreatmentofyoungchildrentibiofibulafracturesseriousdisplacement,toexploreitsclinical applicability.Methods:52childrenwithtibiofibulafracturesseriousdisplacementweredividedintotheexperimentalgroupin30 casesandthecontrolgroupin22cases.TheexperimentalgroupwastreatedbytraditionalChinesemedicinebone-setting manipulationcombinedwithminimallyinvasivesurgery.Thecontrolgroupwasgivenconventionaltreatment.Theintraoperative andpostoperativerelatedindicatorswererecorded,andthecurativeeffectwerecompared.Results:Thebleedingamountofthe experimentalgroupwasless,theoperationtime,fracturehealingtimeandstartloadingtimewereshorterthanthoseofthecontrol group,andthedifferencewasstatisticallysignificant(P＜0.05).Thecomplicationoccurrencerateofthecontrolgroupwas25.62%, theexperimentalgroupwas12.40%,thedifferencewasstatisticallysignificant(P＜0.05).Conclusion:TraditionalChinesemedicine bone-settingmanipulationcombinedwithminimallyinvasivesurger