中西医结合疗法预防跟骨骨折术后皮瓣坏死

跟骨骨折为跗骨骨折中最常见者，约占全部跗骨骨折的60％，多由高处跌伤，足跟部着地，跟骨遭受垂直撞击所致。其中跟骨关节面粉碎、塌陷骨折治疗困难，目前多以跟骨外侧入露切开复位内固定治疗为主，但上种方法易出现切口转角处皮瓣坏死，有人统计约30％左右。切口转角处皮瓣坏死后住院时间长，易出现手术切口及骨的低度感染，长期困惑着患者的身心健康。我院采用中药汤剂内服观察它在预防切口转角处皮瓣坏死的疗效，自2006年8月至2010年5月，我们收治需手术治疗的跟骨关节面粉碎、塌陷骨折病人32例。分别于术后内服复元活血汤加味方、和营止痛汤加味方及十全大补汤，进行了临床观察，现将观察结果总结报告如下。

After cooperation of Chinese and Western medicine therapy prevention calcaneum bone fracture technique, skin petal necrosis

The calcaneum bone fracture for the tarsal bone bone fracture in common, approximately composes the complete tarsal bone bone fracture 60%, many by the high place fall wound, the heel department is well--grounded, the calcaneum suffers the vertical hit result. And the calcaneum facies articularis smashing, the collapse bone fracture treatment difficulty, are many at present by the calcane- um flank enters in the dew incision replacement the fixed treatment primarily, but the previous method easy to present the margin corner skin petal necrosis, some people count approximately about 30%. After margin comer skin petal necrosis, is hospitalized the time to be long, easy to present the surgery margin and bone＇s low infection, long--term is being puzzled patient＇s physical and moral integrity. My courtyard uses the traditional Chinese medicine decoction internal medicine to observe it at the prevention margin corner skin petal necrosis~ s curative effect, from August, 2006 to May, 2010, we admits needs the calcaneum facies articularis smashing which, the collapse bone fracture patient 32 examples the surgery treats. Separately after the technique takes orally the de--emphasis to invigorate the blood the Tonga taste side, and the camp stops pain the Tonga taste side and perfect makes up the soup greatly, has carried on the clinical observation, the observed result summary report is presently as follows.