早期手术与中药治疗肘关节创伤性骨化性肌炎  

Treatment of Traumatic Myositis Ossificans of Elbow with Early Operation and Chinese Medicinal Herbs

作　　者：邓柏杰[1] 陈渭良[1] 

机构地区：[1]佛山市中医院,广东佛山528000

出　　处：《中国骨伤》1999年第5期27-29,共3页China Journal of Orthopaedics and Traumatology

基　　金：广东省中医药管理局科研基金资助课题! (编号 :粤 90 - 92 )

摘　　要：目的　探讨治疗肘关节创伤性骨化性肌炎的新方法。方法　采用手术清除肘关节周围的异生骨及松解肘关节 ,术后内服关节活络方和用舒筋洗药熏洗肘关节 ,治疗不同病程的肘关节创伤性骨化性肌炎 1 1 9例 ,随访 1 0 0例。结果　 1 0 0例肘关节活动度平均增加了 99.0 3°± 2 4 .2 0°。病程 3个月以内术后肘关节活动范围的增加值 ( 1 0 4 .1 5°± 2 0 .3 1°)与病程 3～ 6个月 ( 1 0 0 .89°± 2 5 .93°)比较差异无显著性意义 ( P >0 .0 5 ) ,而与病程 6～ 1 2个月 ( 90 .3 3°± 2 7.1 5°)和病程 1 2个月以上 ( 84 .2 8°± 2 3 .70°)比较差异具有显著性意义 ( P <0 .0 5 )。病程与术后肘关节增加的活动范围具有明显的负相关 ( r=- 0 .982 3 ,P <0 .0 5 ) ;6个月以内与 6个月以上两者术后关节增加活动范围比较其差异亦具有显著性意义 ( P <0 .0 5 )。结论　早期手术可明显改善肘关节功能 ,而结合活血祛瘀、舒筋活络的中药内服外洗 ,理气血、顺筋络 ,有利于肘关节功能的恢复。Objective To study the new method for treating myositis ossificans of elbow.Methods 119 cases of myositis ossificans of elbow with different duration of illness were treated with removing of heterotopic bone and relaxing of joint,combined with oral administration of Guanjie Huoluo Decoction and local steaming and washing with hot Shujin Xiyao Decoction.100 cases were followed-up.Results The average increasing range of elbow joint mobility was 99.03°±24 20°.The increase of joint mobility of the patients who had attacked this disease less than 3 months(104 15°±20 31°)was not significantly different to that of the patients who had attacked this disease for 3～6 months(100 89°±25 93°),(P>0 05),but significantlly different to that of the patients who attacked this disease for 6～12 months (90 33°±27 15°)and more than 12 months (84 28°±23 70°)(P<0 05).The duration of illness was negatively relevant to the increase of joint mobility(r=-0.9823,P<0 05).The increase of joint mobility of the patients who attacked this disease less than 6 months was also significantly different to that of the patients who attacked this disease more than 6 months(P<0 05).Conclusion The function of elbow joint can be obviously improved by early operation.The oral and external adminis tration of Chinese medicinal herbs could regulate either the flow of qi and blood or promote the neuromuscular activity,that should be beneficial to the recovery of elbow joint function.

关 键 词：骨化性肌炎 中医药疗法 外科手术 治疗 

分 类 号：R685.2[医药卫生—骨科学]