摘要
目的：探讨对老年Pilon骨折采用踝关节前内侧入路联合后外侧入路治疗并配合自拟中药方熏洗的临床效果。方法：选取2010年1月—2013年1月收治的46例老年Pilon骨折患者,随机分成治疗组和对照组。治疗组采用踝关节前内侧入路联合后外侧入路进行手术治疗,术后进行自拟中药方熏洗,对照组仅予相同手术治疗。并随访6~24个月,对临床疗效、复位情况和并发症情况进行评定。结果：治疗组临床疗效优良率90.47%,高于对照组的72.00%,两组对比差异有统计学意义,P〈0.05。治疗组解剖复位率90.47%,高于对照组的60.00%,两组对比差异有统计学意义,P〈0.05。治疗组术后近期并发症率14.29%,远期（术后12个月）并发症率19.05%,高于对照组的32.00%和50.00%,两组对比差异有统计学意义,P〈0.05。结论：自拟中药方熏洗联合踝关节双入路治疗老年Pilon骨折可获得良好的治疗效果,有利于患者术后功能重建。
Objective：To investigate clinical effect of self - made herbal medicine fumigation combined with ankle joint double approach in the treatment of old Pillon fracture. Methods ：46 cases of elderly patients with Pilon fracture in our hos- pital were divided into two groups. Treatment group were given self - made herbal medicine fumigation combined with an- kle joint double treatment. The control group were only treated with the same operation treatment. Followed - up of 6 - 24 months, wevaluated the clinical efficacy, reduction and complications. Results ： The clinical effect, the anatomic reduction rate and complications rate of treatment group were better than those in the control group with statistically significant difference ,P 〈 0.05. Conclusion：Self- made herbal medicine fumigation combined with ankle joint dual approach in the treatment of elderly Pilon fracture can obtain good therapeutic effect and functional reconstruction for the patients after op- eration.
出处
《中华中医药学刊》
CAS
北大核心
2015年第6期1418-1420,共3页
Chinese Archives of Traditional Chinese Medicine
基金
浙江省自然科学基金项目(Y2110448)
