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目的:观察中西医结合治疗跟骨关节内骨折的临床疗效。方法:将28例跟骨关节内骨折患者,采用跟骨Ⅲ型解剖支持板进行切开复位内固定;术后第3天即应用熏蒸散对患部进行熏蒸治疗。测量手术前后跟骨的Bohler’s角、Gissane’s角、水平全长、丘部总高、轴长、体宽,观察熏蒸散治疗前、治疗第3天、7天、20天患足肿胀、疼痛程度。结果:手术后跟骨相关多项指标均得到较好恢复;应用熏蒸散治疗后,疼痛和肿胀症状改善明显。28例患者均获随访,随访时间12～36月,平均17.6月。按Maryland足部评分系统评价术后功能,优良率达92.9%。结论:采用中西医结合的方法治疗跟骨关节内骨折可有效恢复跟骨的正常解剖形态,同时还有利于改善患足的肿胀和疼痛等症状。
Objective: To observe the clinical efficacy of integrated traditional Chinese and western medicine treatment of intra-articular calcaneal fractures. Methods: Twenty-eight patients with intra-articular calcaneal fractures were treated with open-reduction and internal fixation with calcaneal type Ⅲ anatomical support plate. On the third day after operation, fumigation was used to treat the affected area. Before and after calcaneus Bohler’s angle, Gissane’s angle, horizontal length, total height of the mound, axial length, width of the body, observe the fumigation treatment before treatment, treatment of 3 days, 7 days, 20 days suffering from foot swelling, pain. Results: A number of calcaneal related indexes were recovered well after operation. The symptoms of pain and swelling were improved obviously after treatment of fumigation. Twenty-eight patients were followed up for 12-36 months (average 17.6 months). According to Maryland foot scoring system evaluation of postoperative function, excellent and good rate of 92.9%. Conclusion: The treatment of intra-articular calcaneal fractures with traditional Chinese and western medicine can effectively restore the normal anatomy of the calcaneus and at the same time improve the symptoms such as swelling and pain of the affected foot.