| 高麟超.不同手术方法治疗不稳定性转子间骨折患者临床效果比较[J].浙江中西医结合杂志,2017,27(11): |
| 不同手术方法治疗不稳定性转子间骨折患者临床效果比较 |
| Comparison of clinical effects of different surgical methods for unstable intertrochanteric fractures |
| 投稿时间：2017-01-06 修订日期：2017-03-14 |
| DOI： |
| 中文关键词: 不同手术方法 不稳定性转子间骨折 临床效果 |
| 英文关键词:different surgical methods unstable intertrochanteric fractures clinical effect |
| 基金项目: |
|
| 摘要点击次数: 1151 |
| 全文下载次数: 10 |
| 中文摘要: |
| 目的：对比分析不同手术方法治疗不稳定性转子间骨折患者临床效果。方法：选自我院于2014年6月~2016年6月期间收治的不稳定行转子间骨折患者109例,根据手术方法不同分为A组(n=56)和B组(n=53)。A组采用股骨近端防旋髓内钉治疗,B组采用联合拉力交锁髓内钉治疗。比较两组治疗优良率、术中失血量、术后下床时间、住院时间,术前和术后1个月、术后3个月Harris评分变化,及术后并发症发生情况。结果：B组优良率(94.33%)高于A组,且有统计学意义(P<0.05)；A组术中失血量多于B组、术后下床时间长于B组、住院时间长于B组,均有统计学意义(P<0.05)；两组术后1个月和术后3个月Harris评分增加,均有统计学意义(P<0.05)；A组术后1个月和术后3个月Harris评分低于B组,均有统计学意义(P<0.05)；B组术后并发症发生率(9.43%)低于A组(28.57%),均有统计学意义(P<0.05)。结论：联合拉力交锁髓内钉治疗不稳定性转子间骨折患者效果优于股骨近端防旋髓内钉治疗。 |
| 英文摘要: |
| Objective: To compare and analyze the clinical effect of different surgical methods in the treatment of unstable intertrochanteric fractures. Methods: 109 patients with unstable intertrochanteric fractures treated in our hospital from June 2014 to ~ June 2016 were divided into A group (n=56) and B group (n=53). Group A was treated with proximal femoral nail anti rotation, and B group was treated with joint tension interlocking intramedullary nail. The two groups were compared with the treatment group, such as excellent and good rate, intraoperative blood loss, postoperative bed time, hospitalization time, Harris score before and after surgery, and the postoperative score and postoperative complications in the 3 months after operation. Results: the excellent rate of B group (94.33%) higher than in the A group (P<0.05); group A, intraoperative blood loss more than B group, postoperative ambulation time was longer than that of group B, hospitalization time was longer than that in group B (P<0.05); the two group after 1 months and after 3 months Harris score increased significantly (P<0.0); A group after 1 months and 3 months after surgery, the Harris score was lower than that of B group had statistical significance (P<0.0); group B postoperative complication rate (9.43%) lower than in the A group (28.57%), there was statistically significant (P<0.05). Conclusion: the treatment of unstable intertrochanteric fractures with combined tension interlocking intramedullary nail is superior to that of proximal femoral nail. |
| 查看全文 查看/发表评论 下载PDF阅读器 |
| 关闭 |
|
|
|
