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目的比较复杂桡骨远端骨折中西医治疗方法的选择和治疗后的效果,探讨临床应用中的一些误区。方法对2011年12月-2013年10月收治住院的219例复杂桡骨远端骨折患者分别采用了中、西医治疗方法。所有患者均用中医非手术治疗,中医非手术治疗失败者采用西医手术治疗作为补救措施。结果所有患者骨折均获得骨性愈合,骨折愈合时间2.5~8.0个月,平均4.6个月;无内固定物松动、断裂,无感染、不愈合,无腕管综合征等并发症发生。219例患者中,采用中医非手术治疗131例,优良率为78.6%。西医手术治疗88例患者,9例采用切开复位克氏针+外固定架固定术,优良率为33.3%;79例采用掌侧切开复位锁定钢板内固定术,优良率为72.1%。结论复杂桡骨远端骨折采用中医非手术治疗方法仍为主要的治疗手段,但对于中老年骨质疏松患者及粉碎严重的部分患者采用西医手术治疗能起到更好的疗效。
Objective To compare the curative effects of traditional Chinese medicine and western medicine on the treatment of complex distal radius fractures and to evaluate the clinical effects of the treatment. Some misunderstandings in clinical application are discussed. Methods A total of 219 patients with complex distal radius fractures admitted to our hospital from December 2011 to October 2013 were treated with Chinese and Western medical methods respectively. All patients were treated with Chinese medicine non-surgical treatment of non-surgical Chinese non-surgical treatment of Western medicine as a remedy. Results All fractures of patients got bony union. The fracture healing time was 2.5-8.0 months (average 4.6 months). No complications such as loosening, rupture, infection, nonunion and carpal tunnel syndrome occurred. Among 219 patients, 131 cases were treated by non-surgical Chinese medicine, the excellent and good rate was 78.6%. Eighty-eight patients were treated by western medicine. Nine patients underwent open reduction and Kirschner wire fixation. The excellent and good rate was 33.3%. The excellent and good rate was 72.1% in 79 patients underwent open reduction and locking plate internal fixation. Conclusion The treatment of complex distal radius fractures with non-surgical treatment of Chinese medicine is still the main treatment method. However, western medicine treatment can play a better therapeutic effect on middle-aged and elderly patients with osteoporosis and some patients with severe comminution.