中国基层医药
中國基層醫藥
중국기층의약
CHINESE JOURNAL OF PRIMARY MEDICINE AND PHARMACY
2012年
13期
1953-1954
,共2页
骨质疏松%微创锁定接骨板%转子间骨折%老年人
骨質疏鬆%微創鎖定接骨闆%轉子間骨摺%老年人
골질소송%미창쇄정접골판%전자간골절%노년인
Osteoporosis%Minimally invasive plate osteosynthesis%Intertrcchanteric fractures%Aged
目的 探讨微创锁定接骨板技术在治疗老年骨质疏松患者并发转子间骨折中的临床意义.方法 对48例老年骨质疏松并发转子间骨折患者行微创锁定接骨板技术治疗(观察组),与同期38例行常规手术治疗的患者(对照组)进行对比,观察患者的治疗情况及并发症的发生情况.结果 观察组优良率为91.7％,对照组为84.2％,两组差异有统计学意义(x2=12.55,P＜0.05)；观察组并发症为0,对照组为18.4％,两组差异有统计学意义(x2=15.23,P＜0.05).结论 微创锁定接骨板技术是治疗老年骨质疏松并发症转子间骨折一种比较理想的选择,选择合适的手术适应证,正确的手术操作,术后配合正确的康复锻炼,可以获得理想的手术效果.
目的 探討微創鎖定接骨闆技術在治療老年骨質疏鬆患者併髮轉子間骨摺中的臨床意義.方法 對48例老年骨質疏鬆併髮轉子間骨摺患者行微創鎖定接骨闆技術治療(觀察組),與同期38例行常規手術治療的患者(對照組)進行對比,觀察患者的治療情況及併髮癥的髮生情況.結果 觀察組優良率為91.7％,對照組為84.2％,兩組差異有統計學意義(x2=12.55,P＜0.05)；觀察組併髮癥為0,對照組為18.4％,兩組差異有統計學意義(x2=15.23,P＜0.05).結論 微創鎖定接骨闆技術是治療老年骨質疏鬆併髮癥轉子間骨摺一種比較理想的選擇,選擇閤適的手術適應證,正確的手術操作,術後配閤正確的康複鍛煉,可以穫得理想的手術效果.
목적 탐토미창쇄정접골판기술재치료노년골질소송환자병발전자간골절중적림상의의.방법 대48례노년골질소송병발전자간골절환자행미창쇄정접골판기술치료(관찰조),여동기38례행상규수술치료적환자(대조조)진행대비,관찰환자적치료정황급병발증적발생정황.결과 관찰조우량솔위91.7％,대조조위84.2％,량조차이유통계학의의(x2=12.55,P＜0.05)；관찰조병발증위0,대조조위18.4％,량조차이유통계학의의(x2=15.23,P＜0.05).결론 미창쇄정접골판기술시치료노년골질소송병발증전자간골절일충비교이상적선택,선택합괄적수술괄응증,정학적수술조작,술후배합정학적강복단련,가이획득이상적수술효과.
Objective To explore the clinical significance of minimally invasive plate osteosynthesis for old osteoporosis patients with intertrochanteric fractures.Methods 48 old osteoporosis patients with intertrochanteric fractures treated with minimally invasive plate osteosynthesis were seleited as experimental group;38 patients treated with conventional operation were selected as control group.Then we compared difference of two group on the treatment and complications.Results The rate of excellent or good for experimental group was 91.7％,and 84.2％ in control group.The difference was statistically significant( x2 =12.55,P ＜ 0.05 ) ;The complication rate was 0 in the experimental group,and 18.4％ in control group,which had statistically significant difference( x2 =15.23,P ＜ 0.05 ).Conclusion In the treatment of old osteoporosis patients with interurochanteric fractures,minimally invasive plate osteosynthesis is an ideal choice.With the correct rehabilitation exercise,appropriate surgical indications and right operation after the surgery could achieve the desired effect of surgery.
