Objective To observe the curative differences of high-viscosity cemented vertebroplasty combined with Zenggu decoction and conservative treatment on lumbar vertebral compression fractures. Methods 90 cases of patients with vertebral compression fractures were randomly divided into observation group and control group,45 cases in each group. Observation group received high viscosity cementless vertebroplasty combined with Zenggu decoction. Control group received bed rest, back muscle functional exercise combined with Zenggu decoction. Positive and lateral X-ray examinations of lumbar spine were performed before treatment,1 month,3 months and 12 months after treatment. The height and Cobb angle of the diseased vertebrae were collected. VAS,ODI scores were used to evaluate the recovery of lumbar fracture. Results There was no significant difference in vertebral height and Cobb angle between the two groups at the 1st month and the 3rd month after operation. 12 months after operation,there was a significant difference between the two groups and 1 month after operation (P＜0.05). The difference between the two groups of VAS score was statistically analyzed at each time point with no statistical significance (P＞0.05). The ODI scores of observation group were significantly better than those of control group at 1 and 3 months after operation (P＜0.05). Conclusion For elderly patients with lumbar vertebral compression fracture without major underlying diseases,high-viscosity bone cement combined with Zenggu decoction and conservative treatment can achieve good clinical efficacy. In clinical work,it is necessary to select appropriate treatment options according to the specific conditions of individual patients.

目的:探讨跟骨骨折手术后切口并发症的原因与预防措施.方法:总结自2014年7月至2017年6月本院收治的132例患者,均行外侧入路切开复位内固定进行骨折治疗,观察切口愈合情况.结果:其中16例术后切口发生不同程度愈合不良,分别通过换药、理疗、高压氧及植皮手术或取出内固定物后,再处理伤口,辗转多时而愈.结论:外侧切口愈合不良是跟骨骨折手术值得关注的并发症,应以综合措施预防.

目的:观察活血益气通经汤治疗腰椎间盘突出症的临床疗效.方法:将100例腰椎间盘突出症患者按随机数字表法分为观察组和对照组,每组50例,观察组患者采用活血益气通经汤治疗,黄芪30 g,党参15 g,香附15 g,茯苓15 g,杜仲12g,当归10 g,丹参15 g,大黄10 g,川续断12 g,苍术10 g,桃仁6 g,僵蚕10g,柴胡10 g,甘草3 g,山茱萸12 g,枸杞子12 g,每日1剂.连续服用1周,休息3d,治疗30 d为1个疗程,治疗1个疗程.对照组患者采用常规治疗,7d为1个疗程,共治疗4个疗程.观察两组患者的临床疗效、视觉模拟评分法(visual analogue scale,VAS)、临床症状、腰痛ODI评分标准(oswestry disability index,ODI)和并发症情况.结果:观察组患者有效率为92.00％,显著高于对照组患者的有效率76.00％,两组比较,差异有统计学意义(P＜0.05).治疗后两组患者VAS评分显著低于治疗前评分,差异有统计学意义(P＜0.05).治疗后观察组患者VAS评分为(1.23±0.57)分低于对照组(1.30±0.36)分,差异无统计学意义(P＞0.05).观察组患者腰疼评分低于对照组,下肢麻木、下肢放射痛及直腿抬高评分高于对照组,差异有统计学意义(P＜0.05).治疗后两组患者ODI评分显著低于治疗前,差异有统计学差异(P＜0.05).治疗后观察组患者ODI评分为(9.63±2.97)分,显著低于对照组患者的(12.01±3.06)分,差异有统计学意义(P＜0.05).两组患者并发症主要有顽固腰痛、运动障碍及腰椎间盘再突出,观察组患者总并发症发生率为12.00％低于对照组患者的14.00％,差异无统计学意义(P＞0.05).结论:活血益气通经汤治疗腰椎间盘突出症疗效显著,且能缓解腰疼症状,减轻患者病痛.

目的 研究桃红四物汤对跟骨关节内骨折内固定术后患者的应用效果.方法 选择2014年1月～2017年1月湖北省中医院骨科接诊的72例跟骨关节内骨折患者进行研究.所有患者随机均分为研究组与对照组.研究组36例患者,采用常规跟骨关节内固定术联合桃红四物汤进行治疗.对照组36例患者,采用常规跟骨关节内固定术进行治疗.术后,对两组患者的骨折愈合情况,临床治疗效果和骨骼形态等情况进行观察比较.结果 研究组患者的疗效优良率(91.67％)明显高于对照组(72.22％),两组比较差异有统计学意义(P<0.05);研究组患者的骨折愈合时间显著低于对照组,两组比较差异有统计学意义(P<0.05);对照组(52.78％)的愈合优良率明显低于研究组患者(75.00％),两组数据差异有统计学意义(P<0.05);研究组Gissane角显著大于对照组,两组比较有统计学意义(P<0.05);研究组患者的并发症发生率明显较对照组低,差异具有统计学意义(P<0.05).结论 桃红四物汤联合跟骨关节内骨折固定术在治疗跟骨关节内骨折患者时,能够提高临床疗效和愈合优良率,缩短术后愈合时间、改善骨骼形态的恢复、降低并发症发生率.

<正>笔者对2002年—2009年湖北省中医院肛门病术后患者400例采用马应龙麝香痔疮膏和生肌玉红膏换药治疗,现将其疗效进行回顾性分析比较。1资料与方法1.1一般资料所有病例均来自湖北省中医院肛肠科住院患者,共400例,分别于肛门病术后使用马应龙麝香痔疮膏

Objective:To investigate the surgical method,indications and efficacy of coblation nucleoplasty in treating cervical disc herniation.Methods:A total of 18 patients with cervical disc herniation were treated with coblation nucleoplasty from October 2005 to March 2008,and its effects were studied.Results:The 1 year to 2 years of follow-up showed that it was markedly effective in 12cases,effective in 5 cases and ineffective in 1 case.The total effective rate was 94% and there were no complications.Conclusion:Coblation nucleoplasty treatment on cervical disc herniation is highly targeted and well accepted by patients,with the advantages of small lesion,good safety and quick recovery.

炎性外痔是肛肠外科常见急症之一,临床多采用手术疗法,给患者带来痛苦.自2004年6月～2005年3月,我科采用自拟外洗方治疗炎性外痔80例,收到满意效果,现报道如下.