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补肾断续汤结合髓内钉固定植骨术治疗胫骨中下段骨折不愈合

肖存 张宝田 宋军峰 张明亮

吉林中医药2017,Vol.37Issue(2):151-154,4.
吉林中医药2017,Vol.37Issue(2):151-154,4.DOI:10.13463/j.cnki.jlzyy.2017.02.013

补肾断续汤结合髓内钉固定植骨术治疗胫骨中下段骨折不愈合

Bushen Duanxu Decoction combined with intramedullary nail fixation and bone graft operation in the treatment of nonunion of middle and distal tibial fractures

肖存 1张宝田 1宋军峰 2张明亮1

作者信息

  • 1. 河北省易县医院 河北 易县074200
  • 2. 河北省高邑县医院 河北 高邑县051330
  • 折叠

摘要

Abstract

Objective To investigate the clinical effects ofBushen Duanxu Decoction combined with intramedullary nail fixation and bone graft operation in the treatment of nonunion of middle and distal tibial fractures.1The 110 patients with nonunion of middle and distal tibial fractures were chosen in the period from July 2012 to July 2015 in our hospital and randomly divided into both group including control group (55 patients) with intramedullary nail fixation and bone graft operation used alone and treatment group (55 patients) with Bushen Duanxu Decoction on the basis of control group;and the clinical efficacy,the disappearance time of fracture line,the fracture healing time,the Lysholm score,the HSS score,the levels of BMP-2,IGF-1,IGF-2 and VEGF of both groups were compared.Results The clinical efficacy of treatment group was significantly better than control group(P<0.05).The disappearance time of fracture line and the fracture healing time of treatment group was significantly shorter than control group (P<0.05).The Lysholm score and the HSS score after treatment of treatment group was significantly better than control group and before treatment (P<0.05).The levels of BMP-2,IGF-1,IGF-2 and VEGF after treatment of treatment group were significantly better than control group (P<0.05).Conclusion Bushen Duanxu Decoction combined with intramedullary nail fixation and bone graft operation in the treatment of nonunion of middle and distal tibial fractures can efficiently accelerate the fracture healing process,higher the knee function and be helpful to improve the level of laboratory related indicators.

关键词

髓内钉/胫骨骨折/骨折不愈合/膝关节功能/中医药疗法

Key words

intramedullary nail/tibial fractures/fractures nonunion/knee function/Chinese medicine

分类

医药卫生

引用本文复制引用

肖存,张宝田,宋军峰,张明亮..补肾断续汤结合髓内钉固定植骨术治疗胫骨中下段骨折不愈合[J].吉林中医药,2017,37(2):151-154,4.

基金项目

河北省中医药管理局科研计划课题(编号:2016303). (编号:2016303)

吉林中医药

OACSTPCD

1003-5699

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