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目的:研究补肾健脾法联合髓内钉治疗儿童成骨不全严重股骨畸形的临床疗效。方法:选择9例成骨不全严重股骨畸形患儿为研究对象,术前内服补肾健脾类中药3个月,术中均将弯曲股骨行多段截骨后采用弹性髓内钉固定治疗,观察其临床疗效。结果:术后9例患儿畸形明显改善,随访中患儿均未再发生骨折,未见髓内针合并感染、骨不连等并发症。结论:补肾健脾法联合多段截骨矫形后内置髓内钉治疗儿童成骨不全可矫正肢体畸形,降低再次骨折发生率,疗效确切,值得临床推广应用。
Objective: To study the clinical effect of Bushen Jianpi method combined with intramedullary nail in the treatment of severe osteogenesis imperfecta in children. Methods: Nine children with osteogenesis imperfecta severe femoral deformity were selected as the research object. Three months before the operation, the patients were treated by the method of elastic nails fixation Clinical efficacy. Results: After operation, the malformations of 9 cases were improved obviously. No fracture occurred in the follow-up children. No complications such as intramedullary nail infection and nonunion were found. Conclusion: The combination of tonifying the kidney and invigorating the spleen with multi-section osteotomy for the treatment of osteogenesis imperfecta in children can correct limb deformity and reduce the incidence of secondary fracture. The curative effect is worthy of clinical application.