中药分期治疗联合后外侧入路对旋后外旋型Ⅳ度踝关节骨折的临床疗效观察  

Observation of clinical efficacy of traditional Chinese medicine staged treatment combined with posterolateral approach surgery on supination-external rotation-typeⅣankle fracture

作　　者：查华荣 胡意 袁玉龙 黄邈 ZHA Hua-rong;HU Yi;YUAN Yu-long(Department of Orthopedics,Zigui County Hospital of Traditional Chinese Medicine,Yichang 443699,China)

机构地区：[1]秭归县中医医院骨伤科,443699

出　　处：《中国现代药物应用》2022年第16期179-182,共4页Chinese Journal of Modern Drug Application

摘　　要：目的探讨中药分期治疗联合后外侧入路对旋后外旋型Ⅳ度踝关节骨折的临床疗效。方法70例旋后外旋型Ⅳ度踝关节骨折患者,随机分为对照组和观察组,每组35例。对照组患者予以胫腓骨入路术式,术后进行常规治疗;观察组患者予以后外侧入路术式,术后在常规治疗基础上予以中药分期治疗。比较两组患者止痛时间、消肿时间、骨折愈合时间、关节功能恢复时间、骨折愈合情况、踝-后足功能恢复情况及术后并发症发生率。结果观察组止痛、消肿、骨折愈合和关节功能恢复时间分别为(5.32±0.84)、(5.87±0.95)、(51.23±6.74)、(62.67±7.82)d,均短于对照组的(7.13±1.05)、(7.54±1.18)、(73.86±9.59)、(80.33±10.48)d,差异有统计学意义(P<0.05)。观察组骨折愈合优良率为91.43%,高于对照组的71.43%,差异有统计学意义(P<0.05)。观察组踝-后足功能恢复优良率为94.29%,高于对照组的77.14%,差异有统计学意义(P<0.05)。观察组术后并发症发生率5.71%低于对照组的22.86%,差异有统计学意义(P<0.05)。结论中药分期治疗联合后外侧入路能显著缩短旋后外旋型Ⅳ度踝关节骨折术后疼痛及肿胀时间,促进骨折愈合,加速关节功能恢复,降低术后并发症,临床效果显著。Objective To discuss the clinical efficacy of traditional Chinese medicine staged treatment combined with posterolateral approach surgery on supination-external rotation-typeⅣankle fracture.Methods A total of 70 patients with supination-external rotation-typeⅣankle fracture were randomly divided into control group and observation group,with 35 cases in each group.Patients in the control group were treated with tibiofibular approach and conventional treatment after surgery;patients in the observation group were treated with posterior lateral approach surgery and postoperative staged treatment with traditional Chinese medicine on the basis of the conventional treatment after surgery.The analgesic time,deswelling time,fracture healing time,recovery time of joint function,fracture healing,recovery of ankle-hindfoot function and postoperative complication rates were compared between the two groups.Results The analgesic time,deswelling time,fracture healing time,recovery time of joint function in the observation group were(5.32±0.84),(5.87±0.95),(51.23±6.74),and(62.67±7.82)d,which were shorter than(7.13±1.05),(7.54±1.18),(73.86±9.59),and(80.33±10.48)d in the control group,and the differences were statistically significant(P<0.05).The excellent and good rate of fracture healing in the observation group was 91.43%,which was higher than 71.43%in the control group,and the difference was statistically significant(P<0.05).The excellent and good rate of ankle-hindfoot function recovery in the observation group was 94.29%,which was higher than 77.14%in the control group,and the difference was statistically significant(P<0.05).The postoperative complication rate 5.71%in the observation group was lower than 22.86%in the control group,and the difference was statistically significant(P<0.05).Conclusion Traditional Chinese medicine staged treatment combined with posterolateral approach surgery has significant clinical in the treatment of supination-external rotation-typeⅣankle fracture,which can effectively reduce the

关 键 词：后外侧入路 中药分期治疗 旋后外旋型Ⅳ度踝关节骨折 临床疗效 评价 

分 类 号：R687.3[医药卫生—骨科学]