胫骨疲劳性骨折的早期诊治及预防

Early diagnosis and prevention of tibia fatigue fracture

目的探讨胫骨疲劳性骨折的早期发现、早期诊治及预防。方法自1988年8月～1999年7月共收治胫骨疲劳性骨折66例,根据该病的临床特点及X线分型,分别用周林频谱治疗仪照射、石膏外固定治疗。结果平均随访6个月,优50例,良16例,优良率达100%。结论胫骨疲劳性骨折的发生发展是一种由量变到质变的积累性损伤过程,掌握该病分型特点以确保对该病实施早期诊治,制定科学合理的军训计划对该病的预防具有重要意义。

Objective To investigate early diagnosis,treatment and prev ention of tibia fatigue fracture. Methods From August 1988 to July 1999, 66 case s of tibia fatigue fracture were treated with exposure to the irradiation of Zho u Lin Spectrum Treatment Device, plaster splintage, according to their different clinic characteristics and results of X-gram.Results The 66 cases were followe d up for an average of 6 months. The result was excellent in 50 cases, good in 1 6, with the excellent and good rates of 100%. Conclusions As a result of a chro nic course of accumulative injury, the tibia fatigue fracture develops from quan titative changes to qualitative changes. It is essential for medical workers to have a good knowledge of the classification and features of the condition. It is also important for the army to make scientific and reasonable training plans fo r the soldiers.