摘要
目的探讨不同方式治疗开放性胫腓骨骨折的疗效,总结经验。方法将72例开放性胫腓骨骨折随机分为两组,治疗组38例急诊清创后,跟骨牵引、手法整复、长夹板固定,配合中药治疗;对照组34例采用AO外固定架治疗。随访6～21个月。结果按Johner-Wruh评定标准,两组优良率分别为92.1%和67.6%,经卡方检验,χ2=6.85,P<0.01,有明显统计学差异。结论保守治疗开放性胫腓骨骨折操作简单、疗效可靠、费用低廉、患者易于接受,为治疗该种骨折的理想方法。
Objective To evaluate the curative effect of the conservative treatment of open tibia-fibula fractures,and lessons learned. Methods 72 eases were derided into 2 groups. 38 cases of open tibia-fibula fractures after debridement of early acute ealcaneus traction, using tactics restoration ,long splint, combined with Chinese medicine.And the controls the 34 patients treated by AO fixation, and follow-up of 6 to 21 months. Results Refer to Johner-Wruhs methods assessed efficacy： excellent rate was 92.1% and good rate was 67.6%. The chi-square test, X2=6.85,P〈0.05, has significant statistical difference. Conclusion Conservative treatment of open tibia-fibula fractures is simple, effective, reliable, low-cost, acceptable by patients, and it is an ideal way in treatment of fractures.
出处
《中国现代医生》
2011年第1期151-152,156,共3页
China Modern Doctor
关键词
胫骨腓骨骨折
开放性
夹板
中药
Tibia-fibula fractures
Open
Splint
Chinese medicine
