| 摘要: |
| ［摘要］ 目的 探讨阳和汤加减联合骨搬移术治疗股骨干骨折术后感染性骨不愈合的效果。方法 以2014-05～2015-12该院收治的87例股骨干骨折术后感染性骨不愈合患者为研究对象，按随机数字表法把患者分为对照组43例和治疗组44例。治疗组采用骨搬移术结合阳和汤治疗；对照组采用传统方法治疗。观察两组患者的感染率、复发率、骨折愈合时间、肢体缩短幅度。结果 治疗组的感染率、复发率分别为4.55%、6.82%，比对照组的20.93%、23.26%低；治疗组的骨折愈合时间比对照组短，肢体缩短幅度比对照组小，两组比较差异均有统计学意义（P<0.05）。结论 对股骨干骨折术后感染性骨不愈合患者行阳和汤加减联合骨搬移术治疗，能有效降低感染复发率、缩短骨折愈合时间、降低肢体缩短幅度，临床效果较好，值得进一步推广应用。 |
| 关键词: 股骨干骨折 感染性骨不愈合 阳和汤 骨搬移术 |
| DOI：10.3969/j.issn.1674-3806.2017.04.17 |
| 分类号:R 68 |
| 基金项目: |
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| Effects of modified Yanghe decoction in combination of bone shift surgery on postoperative unhealing infectious bone of femoral fracture |
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CHEN Ding-qi, PAN Yu-chao, CHEN De-yan, et al.
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Department of Orthopedic Surgery, Yangjiang Hospital of Traditional Chinese Medicine, Guangdong 529500, China
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| Abstract: |
| ［Abstract］ Objective To explore the effects of modified Yanghe decoction in combination of bone shift surgery on postoperative unhealing infectious bone of femoral fracture.Methods Eighty-seven patients with postoperative unhealing infectious bones of femoral fractures in Yangjiang Hospital of TCM were selected as the research subjects and were divided into the control group and the treatment group according to the random number table method. The treatment group received bone shift surgery in combination with modified Yanghe decoction and the control group was treated with traditional method. The infection rate, recurrence rate, fracture healing duration and the extent of limb shortening were compared between the two groups.Results The infection rate and the recurrence rate in the treatment group were significantly lower than those in the control group(4.55% vs 20.93% and 6.82% vs 23.26%); The fracture healing duration of the treatment group was significantly shorter than that of the control group. While the scope of limb shortening in the treatment group was smaller than that in the control group(P<0.05).Conclusion Modified Yanghe decoction in combination of bone shift surgery is effective on the treatment of postoperative unhealing infectious bone of femoral fracture. |
| Key words: Femoral fracture Unhealing infectious bone Yanghe decoction Bone shift surgery |
