阳和汤加减联合骨搬移术治疗股骨干骨折术后感染性骨不愈合9例

Modified Yanghe Decoction Combined with Bone Grafting Technique in the Treatment of Infectious Nonunion after Femoral Shaft Fracture Operation for 9 Cases

目的观察与研究阳和汤加减联合骨搬移术治疗股骨干骨折术后感染性骨不愈合的临床疗效。方法选取本院于2014年6月—2017年6月收治的股骨干骨折术后感染性骨不愈合的患者18例进行研究,以随机数字法将其分为对照组和研究组,给予对照组患者常规的治疗,研究组患者则实施阳和汤加减联合骨搬移术治疗,观察与比较2组临床治疗效果。结果治疗后比较,研究组患者感染率(11.11%)和复发率(0)分别低于对照组的感染率(55.56%)和复发率(44.44%);同时研究组骨折愈合时间短于对照组,肢体缩减幅度也小于对照组(P<0.05)。结论阳和汤加减联合骨搬移术治疗股骨干骨折术后感染性骨不愈合效果显著,具有较高的应用价值。

Objective To observe and study the clinical effect of modified Yanghe decoction combined with bone grafting technique in the treatment of infectious nonunion after femoral shaft fracture operation. Method 18 cases of infectious nonunion of femoral shaft fracture treated in our hospital from June 2014 to June 2017 were studied. They were randomly divided into study group and control group. The control group was treated with routine treatment. Patients in study group implemented Yanghe decoction combined with bone grafting treatment. The clinical therapeutic effect of two groups was observed and compared. Results After treatment,the infection rate of the study group was 11. 11%,and the recurrence rate of the study group was 0. The infection rate of the study group was lower than that of the control group（ 55. 56%）,and recurrence rate of the study group was lower than that of the control group（ 44. 44%）. The fracture healing time of the study group was shorter than that of the control group,and limb reduction amplitude of the study group was less than that of the control group（ P 0. 05）. Conclusion Modified Yanghe decoction combined with bone grafting technique in the treatment of infectious nonunion after femoral shaft fracture operation has significant effect,and has higher application value.