MIPO技术结合中药治疗胫腓骨骨折疗效观察

Treatment of Tibial and Fibula Fracture with MIPO Technique and Traditional Chinese Medicine

目的:探讨应用MIPO技术结合桃红四物汤加五苓散治疗胫腓骨骨折的临床疗效。方法:将24例胫腓骨骨折患者随机分成两组,实验组为术前、术后行桃红四物汤加五苓散口服以消肿止痛、活血化瘀,对照组予甘露醇及七叶皂苷钠消肿治疗,两组均行微创经皮锁定钢板(MIPO技术)固定,观察术后4 d患肢肿痛及JohnerWruhs[1]评分情况。结果:24例病例手术后无钢板及螺钉断裂,无伤口感染,切口均I期愈合,术后实验组患肢肿胀、疼痛较对照组较快缓解。结论:MIPO技术结合桃红四物汤加五苓散治疗胫腓骨骨折,具有创伤小、肿胀消退快、疼痛缓解明显、骨折愈合率高的特点,是治疗胫腓骨骨折的理想方法。

Objective ： To explore the clinical curative effects of treatment of fracture of tibia and fibula by taking tech- nology combined with Taohong Siwu Decoction plus Wuling Powder. Method：24 patients with fracture of tibia and fibula were selected and randomly divided into the experimental group and the control group. The experimental group took Tao- hong Siwu Decoction plus Wuling Powder to relieve pain and swelling and activate blood during the perioperative period, while the control group took sodium aescinate and mannitol. The two groups were treated by minimally invasive plating osteosynthesis （ MIPO technique） using LCP. The condition of limb swelling, pain 4 days after operation and the Johner - Wruhs scores were observed . Result：24 cases after operation had no plate or screw damage, no incision infection, and all the incisions were primarily healed. For the experimental group after operation, the limb swelling and pain disap- peared rapidly than those in control group. Conclusion：MIPO technology combined with Taohong Siwu Decoction plus Wul- ing Powder in the treatment of tibial and fibular fracture, has fewer traumas, and can relieve swelling quickly, relieve pain significantly, and has high rate of fracture healing. It is the ideal treatment of fracture of tibia and fibula.