中医正骨手法配合微创手术治疗幼儿胫腓骨骨折严重移位疗效观察  

Efficacy of TCM orthopedic manipulation plus minimally invasive surgery on severe displacement of tibia and fibula fractures in children

作　　者：孙永杰 Sun Yongjie

机构地区：[1]威海市妇幼保健院,山东威海264200

出　　处：《中医临床研究》2020年第29期100-102,共3页Clinical Journal Of Chinese Medicine

摘　　要：目的:观察中医正骨手法配合微创手术治疗幼儿胫腓骨骨折严重移位的临床效果。方法:选取2018年9月-2019年10月于我院诊治的幼儿胫腓骨骨折严重移位患儿86例,根据治疗方式的不同分为对照组(43例)和研究组(43例)。其中对照组行微创手术治疗,研究组在此基础上加予中医正骨手法配合治疗,两组经不同治疗后比较两组临床效果、手术情况、术后恢复情况及并发症。结果:研究组治疗优良率显著高于对照组(P<0.05);研究组与对照组的手术时间、术中出血量比较无明显差异(P>0.05);研究组住院时间、负重时间及骨折愈合时间显著短于对照组(P<0.001);研究组治疗后并发症发生率显著低于对照组(P<0.05)。结论:中医正骨手法配合微创手术治疗幼儿胫腓骨骨折严重移位临床疗效更佳,能缩短治疗时间,促进骨折愈合,且能减少术后并发症的发生,值得临床推广和应用。Objective:To observe the clinical effects of TCM orthopedic manipulation plus minimally invasive surgery on severe displacement of tibia and fibula fractures in children.Methods:86 cases were divided into the control group and research group according to different treatment methods.The control group was treated by minimally invasive surgery,and the research group was treated by TCM orthopedic manipulation more.Results:The excellent treatment rate in the research group was significantly higher than the control group(P<0.05).There was no significant difference in the operation time and intraoperative blood loss between groups(P>0.05).The length of hospitalization,weight-bearing time and fracture healing time in the research group were significantly shorter than the control group(P<0.001),and the incidence of complications after treatment in the study group was significantly lower than the control group(P<0.05).Conclusion:TCM orthopedic manipulation plus minimally invasive surgery on severe displacement of tibia and fibula fractures in young children shows better effects,can shorten the treatment time,promote fracture healing,and reduce the incidence of postoperative complications.

关 键 词：幼儿 胫腓骨骨折 严重移位 中医正骨手法 微创手术 

分 类 号：R274.2[医药卫生—中医骨伤科学]