摘要
目的探讨老年骨质疏松性股骨粗隆间骨折的治疗策略和疗效。方法选择1998年1月～2005年6月老年骨质疏松性股骨粗隆间骨折246例,根据不同类型采用不同的治疗方法,空心钉组(CLS组)24例,动力型加压髋螺钉组(DHS组)173例,动力型加压髁钉螺(DCS组)45例,人工关节置换4例。比较各组手术时间,出血量、骨折愈合时间及并发症发生情况。所有患者同步用药物治疗骨质疏松症。结果术后随访1～84个月,平均37个月。空心钉组手术创伤小,手术时间及术中出血量、术后并发症均明显少于其他手术组(P<0.05),其余3组比较差异均无统计学意义。结论4种手术方法各有优缺点,只要根据不同的适应证及术者的经验,准确预测老年髋部骨折的手术风险,从而合理地制定治疗策略。
Objective To compare and investigate the clinical effects of the treatment of osteoporotic intertrochanteric fracture in elderly patients. Methods 246 elderly patients with osteoporotic intertrochanteric fracture were separated into four groups and treated from January 1998 to June 2005 according to different treating methods. One group having 24 patients was treated with CLS; the second group having 173 patients was treated with DHS ; the third group having 45 patients was treated using DCS and the four patients was treated with joint prosthesis. The operation time, blood loss, bone fracture healing time and operation complications were compared between four groups. Meanwhile, drugs could be used to treat osteoporosis for all patients. Results After operation, the patients were followed up from 1 month to 84 months with 37 months on the average. We found that there were significantly less injury, short operation time, less blood loss and post-operation complications in group CLS compared with other groups （P 〈 0.05） . On the other hand, the difference between them is not statistically significant except the group CLS. Conclusion Four operation methods each have their own advantages and disadvantages. It can be used to predict the risk for the operation of the elderly hip fracture patients accurately.
出处
《中国骨质疏松杂志》
CAS
CSCD
2007年第4期274-276,共3页
Chinese Journal of Osteoporosis
关键词
骨质疏松症
股骨粗隆间骨折
内固定
疗效
Osteoporosls
Intertrochanteric
Fracture
The internal fixation
The curative effect
