CAJ | 학술논문

目的:分析中医正骨手法配合有限切开克氏针内固定术治疗幼儿胫腓骨骨折严重移位的疗效.方法:52例严重移位胫腓骨骨折患儿随机分为微创治疗组30例,采用中医正骨手法配合微创手术治疗;接骨板内固定组22例,采用常规接骨板内固定手术.结果:微创治疗组出血量少,手术时间、住院时间、骨折愈合时间和开始负重时间均短于接骨板内固定组(P<0.01);Beaty评分满意度明显高于接骨板内固定组(P<0.05);两组Johner-Wruhs评分差异无统计学意义(P>0.05).结论:采用中医正骨手法配合有限切开克氏针固定治疗幼儿胫腓骨骨折严重移位,具有创伤小、复位准确、固定牢靠、并发症少、疗效好等优点,符合中医骨伤的微创治疗原则,值得临床推广应用.
목적:분석중의정골수법배합유한절개극씨침내고정술치료유인경비골골절엄중이위적료효.방법:52례엄중이위경비골골절환인수궤분위미창치료조30례,채용중의정골수법배합미창수술치료;접골판내고정조22례,채용상규접골판내고정수술.결과:미창치료조출혈량소,수술시간、주원시간、골절유합시간화개시부중시간균단우접골판내고정조(P<0.01);Beaty평분만의도명현고우접골판내고정조(P<0.05);량조Johner-Wruhs평분차이무통계학의의(P>0.05).결론:채용중의정골수법배합유한절개극씨침고정치료유인경비골골절엄중이위,구유창상소、복위준학、고정뢰고、병발증소、료효호등우점,부합중의골상적미창치료원칙,치득림상추엄응용.
Objective:To analyze curative effects of Chinese medicine bone-setting technique combined with limited incision and internal fixation with Kirschner wire treating serious displacement of young children tibiofibula fracture. Methods:52 cases of tibiofibula fractures severely displaced were randomly divided into treatment group of 30 cases, using Chinese medicine bone-setting technique combined with minimally invasive surgery;plate internal fixation group of 22 cases adopted conventional operation of plate internal fixation. Results:With less blood loss, the operation time, hospitalization time, fracture healing time and loading time of treatment group was shorter than those of plate internal fixation group (P<0.01);and the satisfaction of Beaty score was significantly higher than that of plate internal fixation group (P<0.05);there was no statistical significance in Joh-ner-Wruhs scores of two groups (P>0.05). Conclusion:Chinese medicine bone-setting technique combined with limited incision and internal fixation with Kirschner wire treating serious displacement of young children tibiofibula fracture has the advantages of small trauma, accurate restoration, firm fixation, less complications and better curative effects, which meets with minimally invasive treatment principle of Chinese orthopedics, being wor-thy of clinical popularization and application.