超短波与电脑中频治疗急性软组织损伤

超短波与电脑中频治疗急性软组织损伤安忠恩１李善姬１卢星玉２１延边大学医学院附属医院物理康复科２长白朝鲜族自治县卫生防疫站关键词软组织损伤；超短波；电疗法中图法分类号Ｒ４５４．３；Ｒ６８４．７为探讨急性软组织损伤最有效的治疗方法，近５年来，我们应用超短...     

交叉取穴治疗髋部软组织损伤的临床应用研究

自88年以来,在总后卫生部的组织下,举办平衡针灸防治部队训练伤培训班22期,先后深入到180多个连队为万名官兵进行了训练伤防治。现将针刺臀痛穴治疗髋部软组织损伤180例的临床与基础研究报告如下:     

跌打丸合跌打酒治疗急性软组织损伤100例体会

作者运用伤科跌打丸合风湿跌打药酒调敷治疗急性软组织损伤 10 0例 ,获得满意疗效 ,现报道如下。1　资料与方法1 1　诊断标准 :有明显外伤史 ,损伤部位有不同程度肿胀、疼痛、青紫淤斑及功能障碍 ,病程在 5天之内。1 2　一般资料 :本组患者共 10 0例 ,其中男 6 3例 ,女 37例 ,年龄 8～ 6 3岁 ,平均 37 5岁 ,主要部位 :上肢 31例 ,下肢 4 5例 ,胸背部 8例 ,腰部 16例。1 3　治疗方法 :伤科跌打丸合风湿跌打药酒 (佛山冯了性药业有限公司生产 )调成稠糊状 ,敷于患处 ,面积略大于受伤部位 ,厚约 1 5cm ,上盖一层塑料膜 ,再盖纱布 ,用绷带或胶布…     

跨供区髂骨皮瓣一期修复肢体大面积骨与软组织缺损

Objective To study the clinical effect of iliac flap straddled donor area to primary repair large defect of bone and soft tissue. Methods Through the anatomical study about iliac flap, the new oper-ation method about iliac flap was designed, which straddled donor area and used one blood vessel stem (deep iliae circumflex artery) and two branch blood vessel(deep iliac circumflex artery and superficial iliac circum-flex artery compounding in series) for blood supply. Blood supply area of the analogical operation was stud-ied by irrigating fresh cadaver with Indian ink. Thirty-two patients with large defect of bone and soft tissue (20 males, 12 females, 17-68 years old, average 36 years old) were repaired by this method, and the hemo-dynamics was studied by laser Doppler flowmetry. Results It was feasible to connect superficial iliac cir-cumflex artery with the branch of deep iliac circumflex artery. Indian ink irrigating fresh cadaver simulate operation showed that area scope dyed by Indian ink: in ilium, Indian ink was found in the bone which was (15.8±3.2) cm away from anterior superior iliac spine. In skin flap, Indian ink was found (8.6±2.4) cm superi-or, (5.4±2.6) cm inferior, (5.8±2.6) cm internal and (24.6±5.8) cm external from the anterior superior iliac spine. Laser Doppler flowmetry showed that the peripheral blood flow of skin flap increased as time passed, the increase speed began to tardy at the third day, then ingress the platform stage. Thirty-two cases were all succeed with functional rehabilitation and perfect shape. Thirty-one cases got completely bone healing; bone healing time ranged from 9 to 19 months, with an average of 12 months. One case turned to chronic os-teomyelitis, and had to suffer operation again, the bone healing time was 22 months. Conclusion As the ili-ae flap straddled donor area has sufficient blood supply, it can repair large defect of bone and soft tissue in one stage.     

自拟大黄消瘀止痛散治疗软组织损伤270例疗效观察

软组织损伤是中医骨伤科中最常见的疾患。人体各个部位的筋肉，包括皮肤、肌肉、肌腱、筋膜、韧带、关节囊等，受到暴力撞击、强力扭转、牵拉、压迫，或因跌、仆、扭、闪、挫等原因所引起的损伤，均称为软组织损伤。肘、腕、踝等关节脱位，其关节韧带及肌肉扭伤、撕裂，或腰、颈扭伤，或躯干、肢体肌肉因暴力受挫等，均属此范畴。中医称之为“伤筋”、“筋出槽”等。骨折必然伴有软组织损伤，所以骨折后期，主要是修复损伤的软组织及恢复其生理功能 。自1998年以来，用自拟大黄消瘀止痛散治疗各种类型的软组织损伤270例，疗效理想。现报告如下。     

逆行半比目鱼肌带蒂肌瓣修复小腿远端软组织缺损

目的总结逆行半比目鱼肌带蒂肌瓣修复小腿远端软组织缺损的临床应用结果。方法 2006年10月~2012年10月,应用逆行半比目鱼肌带蒂肌瓣修复12例小腿远端软组织缺损,年龄16~42岁(平均35岁)。肌瓣表面行一期中厚网状游离植皮,供区直接缝合。结果所有的肌瓣全部成活,取得了满意的临床效果。随访1.5~3.5年,平均2.5年,8例伴有胫骨骨折者骨折全部愈合。结论逆行半比目鱼肌带蒂肌瓣具有血管解剖恒定、血运丰富以及操作简单等优点,适宜修复小腿远端软组织缺损。     

腓肠肌肌皮瓣修复胫前软组织缺损

胫前创伤性软组织缺损骨外露 ,胫骨骨折术后钢板外露或胫骨上段慢性骨髓炎病灶清除术后闭合创面 ,处理起来均较困难。如不能覆盖裸露的骨或肌腱 ,将直接影响骨和创面的愈合以及肌腱的成活。我院自1995年 3月至 2 0 0 0年 1月采用腓肠肌肌皮瓣移位术修复胫前软组织缺损 19例 ,疗效满意 ,报告如下。1　临床资料1.1　一般资料 :本组 19例 ,男 15例 ,女 4例。年龄 12～ 6 5岁 ,平均 34岁。左侧 7例 ,右侧 12例。软组织缺损性质 :创伤性软组织缺损 7例 ,胫骨中下 1/ 3骨折术后组织坏死钢板外露 2例 ,胫骨上段慢性骨髓炎病灶清除术后 4例 ,胫前慢…