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目的:观察中西医结合治疗SandersⅢ、Ⅳ型跟骨骨折的效果。方法:对36例42足SandersⅢ、Ⅳ型跟骨骨折患者采用钢板内固定,并结合中药内服、外敷治疗。结果:随访时间6～24月,平均16.4月,骨折平均愈合时间为3.1月。本组36例42足,术口感染2足,均无腓肠神经损伤。36例42足Bohler角、Gissane角、跟骨丘部总高、跟骨体宽和轴长治疗前后比较,差异均有显著性意义(P<0.05)。疼痛级别服中药14天较服中药前明显减轻,差异有显著性意义(P<0.05)。结论:中西医结合治疗SandersⅢ、Ⅳ型跟骨骨折疗效肯定。
Objective: To observe the effect of traditional Chinese and western medicine in the treatment of Sanders Ⅲ and Ⅳ calcaneal fractures. Methods: Thirty - six patients with 42 cases of Sanders Ⅲ and Ⅳ calcaneal fractures were treated with internal fixation with traditional Chinese medicine and external application. Results: The follow-up time ranged from 6 to 24 months, with an average of 16.4 months. The mean fracture healing time was 3.1 months. The group of 36 patients 42 feet, 2 mouth infection surgery, no sural nerve injury. There were significant differences in the Bohler angle, Gissane angle, the total height of the calcaneal humeral region, the body width of the calcaneus and the axial length before and after treatment in 42 cases with 42 feet (P <0.05). The pain level of Chinese medicine for 14 days was significantly lower than that before serving Chinese medicine, the difference was significant (P <0.05). Conclusion: The treatment of Sanders Ⅲ and Ⅳ calcaneal fractures with the combination of TCM and Western medicine is effective.