骨伤复原汤配合骨搬运技术治疗创伤性四肢大段骨缺损30例

Clinical Efficacy of Gushangfuyuan Decoction Combined with Bone Transport in Treatment of Traumatic Segmental Bone Defects of Limbs:A Report of 30 Cases

目的观察骨伤复原汤配合骨搬运技术治疗创伤性四肢大段骨缺损的临床疗效。方法将60例创伤性四肢大段骨缺损患者随机分为治疗组和对照组，每组30例，对照组术后采用鹿瓜多肽8mg静脉滴注，治疗组患者加服骨伤复原汤。结果随访18～31个月，平均24个月。治疗组骨痂牵拉时间较对照组显著缩短（P〈0．05）；治疗组骨愈合优25例，良4例，可1例，差0例，对照组骨愈合优20例，良4例，可4例，差1例，两组骨愈合疗效比较，差异无统计学意义（P〉0．05）。结论骨伤复原汤配合骨搬运技术可缩短创伤性四肢大段骨缺损的愈合时间。

Objective To evaluate the clinical efficacy of Gushangfuyuan Decoction combined with bone transport in the treatment of traumatic segmental bone defects of the limbs. Methods Sixty patients with traumatic segmental bone defects of the limbs were randomly divided into treatment group （n=30） and control group （n=30）. After surgery, both groups were given Cervus and Cucumis Polypeptide Injection by intravenous drip; in addition, the treatment group received Gushangfuyuan Decoction. Results The follow-up was 18-31 months （mean, 24 months）. The treatment group had a significantly shorter bone transport time than the control group （P〈0. 05）. In the treatment group, bone healing was excellent in 25 cases, good in 4 cases, fair in 1 case, and poor in 0 case, versus 20, 4, 4, and 1 cases in the control group, exhibiting no significant differences between the two groups （P〉0.05）. Conclusion Gushangfuyuan Decoction combined with bone transport can shorten bone healing time in patients with traumatic segmental bone defects of the limbs.