摘要
目的研究探讨动力髋螺钉和股骨近端锁定加压钢板治疗老年股骨粗隆间粉碎性骨折的临床疗效。方法随机选取于该院2015年1月—2016年1月骨科诊治的老年股骨粗隆间粉碎性骨折行手术治疗的患者82例,按照随机数表法将研究对象随机分为两组,对照组患者的手术方式为动力髋螺钉,观察组患者的手术方式为股骨近端锁定加压钢板,回顾性分析入选患者的所有完整临床资料及随访资料,统计、观察与比较两组患者手术时间、术中出血量、术后引流量、骨折愈合所需时间等指标,术后切口感染、内固定松动断裂等并发症发生情况,术后髋关节功能恢复情况。结果观察组术后并发症发生率及髋关节功能恢复优良率分别为12.20%、92.68%,对照组分别为9.76%、95.12%,组间差异无统计学意义(P>0.05)。结论在老年股骨粗隆间粉碎性骨折治疗中,临床上尚需依据患者的骨折严重程度或类型、自身身体状况、经济状况等因素综合考虑制定诊疗方案。
Objective To research and analyze the clinical curative effect of dynamic hip screw and proximate femur locking compression plate in treatment of senile femoral intertrochanteric thrypsis.Methods 82 cases of senile patients with femoral intertrochanteric thrypsis diagnosed in our hospital from January 2015 to January 2016 were randomly selected and randomly divided into two groups,the control group were treated with hip screw,while the observation group were treated with proximate femur locking compression plate,and all the clinical data and follow-up data of patients were retrospectively analyzed,and the operation time,intraoperative bleeding amount,postoperative drainage amount and fracture healing time,occurrence of complications such as postoperative incision infection and internal fixation loosening or breakage of the two groups were observed and compared.Results The differences in the incidence rate of postoperative complications and excellent and good rate of hip joint functional recovery between the observation group and the control group had no statistical significance（12.20%,92.68% vs 9.76%,95.12%）（P〈0.05）.Conclusion We should make the diagnosis and treatment plan according to the facture severity degree or type and physical condition and economic condition of patients in clinic in treatment of senile femoral intertrochanteric thrypsis.
出处
《中外医疗》
2017年第8期73-74,77,共3页
China & Foreign Medical Treatment
关键词
股骨粗隆间粉碎性骨折
股骨近端锁定加压钢板
动力髋螺钉
临床疗效
Femoral intertrochanteric thrypsis
Proximate femur locking compression plate
Dynamic hip screw
Clinical curative effect
