我已将罗平县中医医院骨伤二科的科室信息及重点病症诊疗内容进行整理，让更多的人和病患者清晰和了解如下：

一、科室基础信息

科室名称：

云南省曲靖市罗平县中医医院骨伤二科（微创）

整理/编辑：区治甫

- 科室定位：

医院重点专科，积水潭医院骨科联盟医院成员：

- 专业方向：脊柱、关节、创伤、疼痛、关节镜、椎间孔镜、微创、运动医学等。

- 医护团队：共15名，中高级职称5人，均多次到昆明43医院、北京积水潭医院等上级医院进修等。

- 诊疗设备：先进脊柱内镜手术系统、关节镜手术系统、影像导航系统等

- 就诊信息：罗平县中医医院新区外科楼五楼，咨询电话0874-8219096

二、重点病症诊疗

1. 膝关节骨性关节炎（KOA）

- 西医定义：膝关节退行性改变，表现为疼痛、肿胀、活动受限、骨赘形成

- 中医范畴：“痹证”或“骨痹”，病因是肝肾亏损、长期劳累、外感风寒湿等。

- 治疗原则：减轻疼痛、缓解症状、阻止延缓疾病进展、保护关节功能等。

- 治疗方式：西医综合疗法、中医综合疗法、中西医结合疗法，含健康教育、药物内服外用、理疗、外科手术等。

2. 股骨头缺血性坏死

- 西医特征：慢性骨科常见病，因股骨头血液供应中断致微结构改变，最终塌陷变形等。

- 中医病机：符合“虚气留滞”理论，即元气亏虚（虚气）、气滞血瘀湿聚痰凝（留滞）

- 治疗原则：补虚培元、开郁通滞（培元通滞），补虚培元固本为先，行气活血化痰为治等。

- 治疗方式：自拟培元固本汤药（疏肝理脾调气机、活血化瘀通经络等），结合西医健康教育、药物内服外用、外科手术等。

3. 腰椎间盘突出

- 西医机制：椎间盘退变基础上纤维环破裂、髓核突出，压迫神经根致腰腿痛、神经功能障碍等。

- 中医范畴：散在于“腰腿痛”“痹症”，关键病机是肾气虚损、筋骨失养，诱因是跌仆闪挫或寒湿内侵，核心是经脉困阻、气血不畅等。

- 治疗方式：结合西医关节镜微创诊疗技术与中医辨证治疗等。

4. 肩痹（含肩周炎、肩袖损伤等）

- 西医特征：肩关节周围疼痛类疾病，伴功能活动受限等。

- 中医病机：病位在肩部肌肉，与手三阳、手太阴经相关，因经络不通、肌肉失养、风寒湿邪入侵、劳作损伤筋脉、年老气血不足所致等。

- 中医治疗：针灸（通行经气、活血化瘀）、中药内服（桃仁四物汤、八珍汤等）、中医推拿（理筋止痛、活血化瘀）

- 科室特色：融合西医微创与中医理筋、针灸、推拿，配合中药内服等服务。

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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“骨伤二科全体医护人员向患者致意：入院痛者声声，回家春风满面。”

骨伤二科深耕微创诊疗技术，针对骨折、关节损伤、脊柱病变等骨伤问题，以精准操作减少创伤、缩短恢复周期，让您在治疗中少受痛苦、更快回归正常生活。从入院评估到术后康复指导，全程贴心陪伴，用专业与温度守护您的骨骼健康，做您身边值得信赖的骨伤诊疗伙伴。

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.