摘要
目的探讨高龄股骨粗隆间骨折手术与非手术的临床疗效。方法临床纳入高龄股骨粗隆间骨折患者85例,根据治疗方案的不同分为研究组与对照组。研究组(45例)实施股骨近端锁定钢板内固定治疗,对照组(40例)实施股骨髁上牵引或胫骨结节牵引治疗。观察两组患者治疗前后髋关节功能(Harris评分)以及并发症情况。结果治疗后,研究组功能、疼痛、畸形、运动范围得分以及Harris总分均明显高于对照组,并发症发生率显著低于对照组,差异均有统计学意义(P<0.05)。结论手术治疗高龄股骨粗隆间骨折患者,能够有效改善患者的髋关节功能,提高患者的生活质量,且并发症较少。
Objective To investigate the clinical efficacy of surgical and non-surgical treatment for elderly femoral intertrochanteric fractures. Methods 85 patients with femoral intertrochanteric fractures were selected and divided into study group and control group. The study group （45 cases） was given internal fixation treatment with proximal femoral locking compression plate, the control group was treated with supracondylar femoral traction or tibial tubercle traction. The conditions of hip function （Harris score） before and after treatment, and conditions of complications in two groups were observed. Results After treatment, the scores of function, pain, deformity, range of movement and the total score of Harris in study group were significantly higher than those in control group, the incidence of complications in study group was significantly lower than that in control group （P 〈0.05）. Conclusions Surgical treatment for elderly patients with femoral intertrochanteric fractures can effectively improve the hip function and quality of life of patients, with fewer complications.
出处
《临床医学工程》
2016年第6期743-744,共2页
Clinical Medicine & Engineering
关键词
股骨粗隆间骨折
手术
疗效
并发症
Femoral intertrochanteric fracture
Surgery
Curative effect
Complication
