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目的观察采用中西医结合治疗掌侧Barton氏骨折的临床疗效。方法对15例Barton氏骨折患者均采用手术切开复位内固定,并按照三期辨证原则口服中药,术后及时中药熏洗和功能锻炼。结果本组病例经2个月-6个月随访,骨折均愈合,愈合时间平均2.5个月。按Gartland和Werley功能评价标准评定,结果优9例,良4例,可2例。结论掌侧Barton氏骨折手术并采用口服中成药,骨折复位良好,恢复快,疗效满意。
Objective To observe the clinical efficacy of using traditional Chinese and western medicine to treat Barton’s fracture of the palmar. Methods Fifteen patients with Barton ’s fracture were treated with surgical incision and reduction and internal fixation. Oral Chinese medicine was given according to the principle of three periods of dialectical syndrome. Herbs were fumigated and exercised in time after the operation. Results The patients were followed up for 2 months to 6 months, the fractures healed and the healing time was 2.5 months on average. According to Gartland and Werley functional evaluation criteria, the results were excellent in 9 cases, good in 4 cases and fair in 2 cases. Conclusions Barton ’s fracture of palmar is treated by oral administration of Chinese patent medicine. The fractures are well reset and quickly recovered. The curative effect is satisfactory.