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仙方活命饮加减结合手术治疗慢性创伤性髌骨骨髓炎临床观察 |
Clinical observation for the treatment of chronic traumatic patella osteomyelitis with modified Xianfang Huoming Yin and surgery |
投稿时间:2019-04-16 修订日期:2019-04-16 |
DOI: |
中文关键词: 仙方活命饮 创伤性髌骨骨髓炎 临床观察 |
英文关键词: Xianfang Huoming Yin traumatic patella osteomyelitis clinical observation |
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中文摘要: |
目的:观察仙方活命饮加减结合手术治疗慢性创伤性髌骨骨髓炎(脓毒蚀骨证)的临床效果。 方法:对9例髌骨骨折术后感染患者给予手术清除病灶、抗生素治疗的基础上,结合仙方活命饮加减治疗。 结果:治疗4周后患者血白细胞、血沉、C反应蛋白、中性粒细胞等血均大幅下降至正常值范围。参考疗效标准,9例患者中优5例,良3例,可1例,差0例。术后无复发。膝关节评分系统(KSS)评分的临床评分总分 82.1±7.5;功能评分总分85.2± 9.7。 结论:应用仙方活命饮加减结合手术治疗慢性创伤性髌骨骨髓炎(脓毒蚀骨证),疗效满意,不易复发,值得在临床上广泛推广。 |
英文摘要: |
Objective: To observe the clinical effect of modified Xianfang Huoming Yin combined with operation on chronic traumatic patellar osteomyelitis(Syndrome of sepsis and bone erosion). Methods: Nine patients with infection after patellar fracture operation were treated with surgical debridement and antibiotics, combined with modified Xianfang Huoming Yin. Result: After 4 weeks of treatment, their blood leucocyte, erythrocyte sedimentation rate, C-reactive protein and neutrophil decreased significantly to the normal range. According to the clinical criteria, 5 were excellent, 3 were good, 1 was fair and 0 were poor. There was no recurrence after operation. The total clinical score and functional score of knee joint scoring system (KSS) were 82.1 (+7.5) and 85.2 (+9.7) respectively. Conclusion: The application of Xianfang Huoming Yin combined with surgery in the treatment of chronic traumatic patellar osteomyelitis(Syndrome of sepsis and bone erosion) has stable curative effect and low recurrence rate, which is worthy of clinical promotion. |
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