七厘散配合石膏固定治疗MasonI型桡骨小头骨折35例.docVIP

精品论文 参考文献 七厘散配合石膏固定治疗MasonI型桡骨小头骨折35例 王媚 王立恒（通讯作者） 王绍琦 (辽宁大连市骨科医院 116000) 【中图分类号】R683.41 【文献标识码】A【文章编号】1672-5085（2013）22-0424-02 【摘要】 目的 观察随访用七厘散内服配合石膏外固定治疗MasonI型桡骨小头骨折的临床近期疗效。方法　2011年4月至20l3年1月，采用七厘散内服配合长臂石膏外固定治疗35例MasonI型桡骨小头骨折，男15例，女20例；年龄36～64岁，平均45.5岁；左侧12例，右侧23例。受伤到入院时间1-20h。患者入院时肘部肿胀疼痛，肘关节活动受限，肘关节未闻及骨擦音，x线片示桡骨小头骨折。对患者拆除石膏后肘关节功能恢复观察采用Mayo肘部评分系统。结果　所有患者均获得2-6个月随访，平均4个月。肘关节功能评分平均95分，优25例，良9例，差1例，优良率为97.2％。用七厘散内服配合石膏外固定治疗Mason I型桡骨小头骨折消肿止痛效果良好、固定可靠、方法简单，骨折愈合及功能锻炼满意。是种治疗桡骨小头骨折的理想方法。 【关键词】桡骨小头骨折 七厘散 骨折外固定 Treatment of Mason Type I Radial Head Fracture by Qi li san take orally and gupse external Fixation 【Abstract】 Objective To study the clinical effect of Mason type I radial head fracture treated operation of apen reduction Qi li san take orally and gupse external fixation。Methods:From May 2011 to Janaral 2013，35 patients with MasonI radial head fractures were treated by Qi li san take orally and gupse external fixation including 15 males and 20 females with the average age of 45.5 years(range 36 to 64).12 cases were left and 23 cases were right.The interval from injury to hospitalization ranged from 1 to 20 hours.The clinicalsymptoms were swelling，pain，restricted movement in elbow.Bonycrepitus were not heard on the elbow joint and X-ray film showed radial head fractures.Mayo elbow scoring system was used to evaluate recovery of elbow function.Results：All the patients were followed the mean follow up period was 10 months(range2～6 months).The average elbow score was 35 for operation group，25 eases were graded excellent，9 good，and 1 fair.The overall excellent and good rate was 97.2％.Treatment of Mason I radial head fractures by Qi li san take orally and gupse external fixation has advantages of satisfactory reduction，reliable frication，easy operating and early movement of joint. 桡骨小头骨折是临床上较为常见的肘部骨折[1]，约占全身骨折的0.8％，约有1/3患者合并关节其它部位损伤[2]。对于Mason分型I型者，传统的治疗方法一般采取石膏外固定保守治疗，而我院急诊自2011.4至2013.1治疗35例桡骨小头骨折患者，均行七厘散内服配合石膏外固定，并取得了满意的疗效。 1 资料与方法 1