我已將羅平縣中醫(yī)醫(yī)院骨傷二科的科室信息及重點病癥診療內(nèi)容進行整理，讓更多的人和病患者清晰和了解如下：
一、科室基礎(chǔ)信息
科室名稱：
云南省曲靖市羅平縣中醫(yī)醫(yī)院骨傷二科（微創(chuàng)）
整理/編輯：區(qū)治甫
- 科室定位：
醫(yī)院重點?？疲e水潭醫(yī)院骨科聯(lián)盟醫(yī)院成員：
- 專業(yè)方向：脊柱、關(guān)節(jié)、創(chuàng)傷、疼痛、關(guān)節(jié)鏡、椎間孔鏡、微創(chuàng)、運動醫(yī)學(xué)等。
- 醫(yī)護團隊：共15名，中高級職稱5人，均多次到昆明43醫(yī)院、北京積水潭醫(yī)院等上級醫(yī)院進修等。
- 診療設(shè)備：先進脊柱內(nèi)鏡手術(shù)系統(tǒng)、關(guān)節(jié)鏡手術(shù)系統(tǒng)、影像導(dǎo)航系統(tǒng)等
- 就診信息：羅平縣中醫(yī)醫(yī)院新區(qū)外科樓五樓，咨詢電話0874-8219096
二、重點病癥診療
1. 膝關(guān)節(jié)骨性關(guān)節(jié)炎（KOA）
- 西醫(yī)定義：膝關(guān)節(jié)退行性改變，表現(xiàn)為疼痛、腫脹、活動受限、骨贅形成
- 中醫(yī)范疇：“痹證”或“骨痹”，病因是肝腎虧損、長期勞累、外感風(fēng)寒濕等。
- 治療原則：減輕疼痛、緩解癥狀、阻止延緩疾病進展、保護關(guān)節(jié)功能等。
- 治療方式：西醫(yī)綜合療法、中醫(yī)綜合療法、中西醫(yī)結(jié)合療法，含健康教育、藥物內(nèi)服外用、理療、外科手術(shù)等。
2. 股骨頭缺血性壞死
- 西醫(yī)特征：慢性骨科常見病，因股骨頭血液供應(yīng)中斷致微結(jié)構(gòu)改變，最終塌陷變形等。
- 中醫(yī)病機：符合“虛氣留滯”理論，即元氣虧虛（虛氣）、氣滯血瘀濕聚痰凝（留滯）
- 治療原則：補虛培元、開郁通滯（培元通滯），補虛培元固本為先，行氣活血化痰為治等。
- 治療方式：自擬培元固本湯藥（疏肝理脾調(diào)氣機、活血化瘀通經(jīng)絡(luò)等），結(jié)合西醫(yī)健康教育、藥物內(nèi)服外用、外科手術(shù)等。
3. 腰椎間盤突出
- 西醫(yī)機制：椎間盤退變基礎(chǔ)上纖維環(huán)破裂、髓核突出，壓迫神經(jīng)根致腰腿痛、神經(jīng)功能障礙等。
- 中醫(yī)范疇：散在于“腰腿痛”“痹癥”，關(guān)鍵病機是腎氣虛損、筋骨失養(yǎng)，誘因是跌仆閃挫或寒濕內(nèi)侵，核心是經(jīng)脈困阻、氣血不暢等。
- 治療方式：結(jié)合西醫(yī)關(guān)節(jié)鏡微創(chuàng)診療技術(shù)與中醫(yī)辨證治療等。
4. 肩痹（含肩周炎、肩袖損傷等）
- 西醫(yī)特征：肩關(guān)節(jié)周圍疼痛類疾病，伴功能活動受限等。
- 中醫(yī)病機：病位在肩部肌肉，與手三陽、手太陰經(jīng)相關(guān)，因經(jīng)絡(luò)不通、肌肉失養(yǎng)、風(fēng)寒濕邪入侵、勞作損傷筋脈、年老氣血不足所致等。
- 中醫(yī)治療：針灸（通行經(jīng)氣、活血化瘀）、中藥內(nèi)服（桃仁四物湯、八珍湯等）、中醫(yī)推拿（理筋止痛、活血化瘀）
- 科室特色：融合西醫(yī)微創(chuàng)與中醫(yī)理筋、針灸、推拿，配合中藥內(nèi)服等服務(wù)。
I have organized the department information and diagnosis and treatment content of key diseases of the Second Orthopedics Department (Minimally Invasive Surgery) of Luoping County Hospital of Traditional Chinese Medicine, to help more people and patients understand the following clearly:
I. Basic Information of the Department
- Department Name: Second Orthopedics Department (Minimally Invasive Surgery), Luoping County Hospital of Traditional Chinese Medicine, Qujing City, Yunnan Province
- Organizer/Editor: Ou Zhifu
- Department Positioning: A key specialty of the hospital and a member of the Orthopedics Alliance of Jishuitan Hospital.
- Professional Directions: Spine, joint, trauma, pain, arthroscope, transforaminal endoscope, minimally invasive surgery, sports medicine, etc.
- Medical Team: A total of 15 medical staff, including 5 with intermediate and senior professional titles. All of them have received further training in superior hospitals such as Kunming 43rd Hospital and Beijing Jishuitan Hospital for many times.
- Diagnostic and Therapeutic Equipment: Advanced spinal endoscopic surgery system, arthroscopic surgery system, image navigation system, etc.
- Consultation Information: 5th Floor, Surgery Building, New District of Luoping County Hospital of Traditional Chinese Medicine; Consultation Tel: 0874-8219096
II. Diagnosis and Treatment of Key Diseases
1. Knee Osteoarthritis (KOA)
- Western Medicine Definition: A degenerative change of the knee joint, manifested as pain, swelling, limited movement, and osteophyte formation.
- Traditional Chinese Medicine (TCM) Category: Belongs to the category of "Bi Syndrome" or "Bone Bi Syndrome" in TCM. The causes include liver and kidney deficiency, long-term overwork, and exogenous wind-cold-dampness.
- Treatment Principles: Relieve pain, alleviate symptoms, prevent and delay disease progression, protect joint function, etc.
- Treatment Methods: Comprehensive Western medicine therapy, comprehensive TCM therapy, and integrated traditional Chinese and Western medicine therapy, including health education, internal and external use of drugs, physical therapy, and surgical operations.
2. Avascular Necrosis of the Femoral Head
- Western Medicine Characteristics: A common chronic orthopedic disease. Interruption of blood supply to the femoral head leads to microstructural changes, and eventually collapse and deformation of the femoral head.
- TCM Pathogenesis: Conforms to the theory of "Deficient Qi Stagnation", which refers to deficiency of primordial Qi (deficient Qi) and stagnation of Qi, blood stasis, dampness accumulation and phlegm coagulation (stagnation).
- Treatment Principles: Tonify deficiency and cultivate primordial Qi, relieve stagnation and dredge obstruction (Cultivate Primordial Qi and Dredge Obstruction). The priority is to tonify deficiency, cultivate primordial Qi and consolidate the root, and the treatment involves promoting Qi circulation, activating blood circulation and resolving phlegm.
- Treatment Methods: Self-formulated Decoction for Cultivating Primordial Qi and Consolidating the Root (for soothing the liver and regulating the spleen to adjust Qi movement, activating blood circulation and dredging collaterals, etc.), combined with Western medicine methods such as health education, internal and external use of drugs, and surgical operations.
3. Lumbar Disc Herniation
- Western Medicine Mechanism: On the basis of intervertebral disc degeneration, the annulus fibrosus ruptures and the nucleus pulposus protrudes, compressing the nerve roots, resulting in lumbocrural pain and neurological dysfunction.
- TCM Category: Scattered in the categories of "Lumbocrural Pain" and "Bi Syndrome" in TCM. The key pathogenesis is deficiency of kidney Qi and malnutrition of muscles and bones; the inducing factors are falls, sprains or invasion of cold-dampness; the core is obstruction of meridians and unsmooth circulation of Qi and blood.
- Treatment Methods: Combination of Western medicine arthroscopic minimally invasive diagnosis and treatment technology and TCM syndrome differentiation and treatment.
4. Shoulder Bi Syndrome (including Periarthritis of Shoulder, Rotator Cuff Injury, etc.)
- Western Medicine Characteristics: Diseases characterized by pain around the shoulder joint, accompanied by limited functional activities.
- TCM Pathogenesis: The disease location is in the shoulder muscles, related to the Three Yang Meridians of Hand and the Taiyin Meridian of Hand. It is caused by unsmooth meridians, malnutrition of muscles, invasion of wind-cold-dampness pathogens, muscle and tendon injury due to overwork, and Qi and blood deficiency in the elderly.
- TCM Treatment:
- Acupuncture: Promotes the circulation of meridian Qi, activates blood circulation and removes blood stasis.
- Internal Use of TCM: Taoren Siwu Decoction, Bazhen Decoction, etc.
- TCM Massage: Regulates tendons to relieve pain, activates blood circulation and removes blood stasis.
- Department Features: Integrates Western medicine minimally invasive technology with TCM tendon regulation, acupuncture and massage, combined with internal use of TCM.
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“骨傷二科全體醫(yī)護人員向患者致意：入院痛者聲聲，回家春風(fēng)滿面。”
骨傷二科深耕微創(chuàng)診療技術(shù)，針對骨折、關(guān)節(jié)損傷、脊柱病變等骨傷問題，以精準(zhǔn)操作減少創(chuàng)傷、縮短恢復(fù)周期，讓您在治療中少受痛苦、更快回歸正常生活。從入院評估到術(shù)后康復(fù)指導(dǎo)，全程貼心陪伴，用專業(yè)與溫度守護您的骨骼健康，做您身邊值得信賴的骨傷診療伙伴。
Greetings from the Medical Team of Orthopedics and Traumatology Department II (Minimally Invasive Surgery)
All medical staff of Orthopedics and Traumatology Department II extend greetings to patients: "You arrive with pain, but leave with a radiant smile like spring breeze."
Our department specializes in minimally invasive diagnosis and treatment technologies. For orthopedic issues such as fractures, joint injuries, and spinal disorders, we minimize trauma and shorten recovery time through precise operations. This ensures you suffer less during treatment and return to normal life faster. From admission evaluation to post-operative rehabilitation guidance, we provide attentive care throughout the process. We safeguard your bone health with professionalism and compassion, striving to be your trustworthy partner in orthopedic diagnosis and treatment.
