CAJ | 학술논문

　　目的探讨手术切开双钢板内固定联合中药内服外洗治疗高能量损伤胫骨平台骨折的临床效果。方法选择本院2011年8月～2012年4月收治的胫骨平台骨折患者41例，在手术切开双钢板内固定的同时，给予中药汤剂内服、外洗治疗，另与同期仅接受双钢板内固定治疗的30例患者作对比。结果术后8周，观察组HSS评分显著低于对照组（P＜0.05），两组愈合时间分别为（9.0±2.1）个月和（10.2±2.8）个月，观察组显著低于对照组（ P＜0.05）；观察组总优良率和并发症率分别为92.7%和2.4%，均显著优于对照组（P＜0.05）。结论中西医结合治疗高能量损伤胫骨平台骨折具有显著的疗效，能显著降低术后并发症发生，加速患者恢复，值得推广。
　　목적탐토수술절개쌍강판내고정연합중약내복외세치료고능량손상경골평태골절적림상효과。방법선택본원2011년8월～2012년4월수치적경골평태골절환자41례，재수술절개쌍강판내고정적동시，급여중약탕제내복、외세치료，령여동기부접수쌍강판내고정치료적30례환자작대비。결과술후8주，관찰조HSS평분현저저우대조조（P＜0.05），량조유합시간분별위（9.0±2.1）개월화（10.2±2.8）개월，관찰조현저저우대조조（ P＜0.05）；관찰조총우량솔화병발증솔분별위92.7%화2.4%，균현저우우대조조（P＜0.05）。결론중서의결합치료고능량손상경골평태골절구유현저적료효，능현저강저술후병발증발생，가속환자회복，치득추엄。
Objective To investigate the clinical effect of surgical incision dual plate fixation combined with internal medicine and washing treatment treating high energy tibial plateau fractures injury. Methods 41 patients with tibial plateau fractures were treated with surgical incision dual plate fixation from August 2011 to April 2012 in our hospital, by giving oral decoction, external washing treatment and the others at the same period,30 patients received only double plate fixation were selected and compared with the above. Results After 8 weeks, the HSS score in observation group was significantly lower than that in control group (P < 0.05), the healing time was (9.0 ± 2.1) months and (10.2 ± 2.8) months between the two groups, the healing time in observation group was significantly lower than that in control group (P < 0.05 ); the total fine rate and complication rate in observation group were 92.7% and 2.4%, respectively, they were significantly better than those in control group (P < 0.05). Conclusion Integrative treatment of high energy tibial plateau fracture injury has a significant effect, can significantly reduce the incidence of postoperative complications, and accelerate patient recovery, worthy of promotion.