CAJ | 학술논문

目的:探讨中西医结合治疗肱骨髁间粉碎性骨折的临床疗效.方法:回顾性分析1997年6月~2011年8月期间我院诊治的53例肱骨髁间粉碎性骨折患者病历资料,手术方法采用尺骨鹰嘴V形截骨的方法显露,双钢板固定骨折,尺骨鹰嘴截骨复位后张力带固定.其中24例术后未采取中药联合治疗(单独手术治疗组),29例术后配合中药熏洗治疗(中西医结合治疗组),分析2组治疗效果.结果:中西医结合治疗组术后肘关节恢复优良率为89.66%,单独手术组为62.50%,2组优良率对比,差异存在统计学意义(P<0.05),2组患者术中及术后均未出现严重并发症,疗效差患者仅为轻度活动不适,中西医结合治疗组未出现后遗症患者,单独手术治疗组出现3例,2组比较差异无统计学意义(P>0.05).结论:经尺骨鹰嘴V形截骨是一种较好的治疗肱骨髁间粉碎性骨折的手术方式,具有牢固固定、并发症少等优点,术后配合中药熏洗治疗能明显提高术后优良率及减少不良反应.
목적:탐토중서의결합치료굉골과간분쇄성골절적림상료효.방법:회고성분석1997년6월~2011년8월기간아원진치적53례굉골과간분쇄성골절환자병력자료,수술방법채용척골응취V형절골적방법현로,쌍강판고정골절,척골응취절골복위후장력대고정.기중24례술후미채취중약연합치료(단독수술치료조),29례술후배합중약훈세치료(중서의결합치료조),분석2조치료효과.결과:중서의결합치료조술후주관절회복우량솔위89.66%,단독수술조위62.50%,2조우량솔대비,차이존재통계학의의(P<0.05),2조환자술중급술후균미출현엄중병발증,료효차환자부위경도활동불괄,중서의결합치료조미출현후유증환자,단독수술치료조출현3례,2조비교차이무통계학의의(P>0.05).결론:경척골응취V형절골시일충교호적치료굉골과간분쇄성골절적수술방식,구유뢰고고정、병발증소등우점,술후배합중약훈세치료능명현제고술후우량솔급감소불량반응.
@@@@Objective:To investigate combine traditional Chinese and western medicine material humerus condyles comminuted fracture between clinical curative effect. Methods:retrospective analysis in June 1997 to August 2011 in our diagnosis and treatment during the 53 cases of humerus condyles comminuted fracture patients between medical record material, surgical methods ulna olecranon V cut bone method show, the double plate fixed fractures, ulna olecranon cut bone reset after tension band fixation. The 24 cases failed to take Chinese traditional medicine combination therapy (single surgery treatment group), 29 cases with Chinese medicine fumigation treatment (combine traditional Chinese and western medicine treatment group), analysis of two groups of treatment effect. Results:The combining traditional Chinese and western medicine treatment group postoperative elbow recovery rate was 89.66% , the separate operation in group is 62.50%, two groups of good contrast, differences exist statistical significance (P<0.05), two groups of patients with preoperative and postoperative all did not appear serious complications, curative effect in patients with poor is only mild activity is unwell, combine traditional Chinese and western medicine treatment group does not appear sequela patients, separate operation treatment group appear in 3 patients, two groups of comparisons difference was statistically significant (P>0.05). Conclusion: the ulna olecranon V cut bone is a kind of good treatment between the humerus condyles comminuted fracture of surgical treatment, has the strong fixation, fewer complications etc, and postoperative with Chinese medicine fumigation treatment can obviously improve the postoperative rate and reduce adverse reactions.