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目的:总结塑形综合疗法结合中药辨证论治儿童股骨头坏死(又称Perthes病)的临床疗效。方法:对2009年10月—2013年1月该院收治的58例(70髋)Perthes病患者,采用塑形综合疗法,结合中药辨证论治,应用Stulberg评定方法四个等级进行疗效评价。结果:58例病例经过1~4年随访后,CatterallⅡ期共12髋,优良率91.7%;Ⅲ期共36髋,优良率88.9%,Ⅳ期22髋,优良率72.7%。结论:塑形综合疗法配合中医中药辩证施治这一非手术疗法,能有效地改善Perthes病患儿髋痛、膝痛及跛行症状,提高患儿日常生活水平,同时具有具有安全、简便、无创伤、无不良反应等优点,值得临床进一步推广和应用。
OBJECTIVE: To summarize the clinical curative effect of plastic combined therapy combined with traditional Chinese medicine in treating children with femoral head necrosis (also known as Perthes disease). Methods: From October 2009 to January 2013, 58 patients (70 hips) with Perthes disease admitted to our hospital were treated with plastic surgery combined with syndrome differentiation of traditional Chinese medicine (TCM). Stulberg method was used to assess the efficacy of the four grades. Results: 58 cases were followed up for 1 to 4 years. There were 12 hips in Catterall Ⅱ stage, the excellent and good rate was 91.7%. The total effective rate was 88.9% in stage Ⅲ and 36 hips in stage Ⅲ. The excellent and good rate was 72.7%. Conclusion: The combination of plastic surgery combined with traditional Chinese medicine dialectical treatment of non-surgical treatment of children with Perthes can effectively improve the symptoms of hip pain, knee pain and claudication, improve children’s daily living standards, with a safe, easy, no Trauma, no adverse reactions, etc., it is worth further clinical promotion and application.