CAJ | 학술논문

目的探讨股骨近端锁定钢板在老年股骨粗隆骨折治疗中的疗效及安全性。方法回顾性分析98例老年股骨粗隆骨折患者的临床病例资料及随访记录，根据手术时选用的手术方式分为2组，给予动力髋螺钉固定治疗的46例设为对照组，给予股骨近端锁定钢板治疗的52例设为观察组，对比分析2组疗效及安全性。结果观察组近期疗效、远期疗效均明显优于对照组，安全性高于对照组，差异均有统计学意义(P<0.05)。结论股骨近端锁定钢板是治疗老年股骨粗隆骨折的有效术式，可明显改善髋关节功能，降低术后并发症风险，疗效显著，安全性高，值得临床优先选用。
목적탐토고골근단쇄정강판재노년고골조륭골절치료중적료효급안전성。방법회고성분석98례노년고골조륭골절환자적림상병례자료급수방기록，근거수술시선용적수술방식분위2조，급여동력관라정고정치료적46례설위대조조，급여고골근단쇄정강판치료적52례설위관찰조，대비분석2조료효급안전성。결과관찰조근기료효、원기료효균명현우우대조조，안전성고우대조조，차이균유통계학의의(P<0.05)。결론고골근단쇄정강판시치료노년고골조륭골절적유효술식，가명현개선관관절공능，강저술후병발증풍험，료효현저，안전성고，치득림상우선선용。
Objective To investigate the effect and safety of proximal femur locking compression plate for treatment of intertrochanteric fracture in old patients. Methods Clinical data and visit records of 98 cases of intertrochanteric fracture old patients were analysed retro-spectively. According to the treatment of operative methods, these patients were divided into two groups: 46 patients in the control group were given the dynamic hip screw fixation; the other 52 cases in the observation group were given the proximal femur locking compression plate . Compared the therapeutic effect and safety of the two groups. Results The short-term and long-term therapeutic effect of observation group were significantly better than the control group,and the safety of observation group was higher than that of the control group,the differ-ences were statistically significant (P<0. 05). Conclusion Proximal femur locking compression plates is an effective surgical treatment for old patients with intertrochanteric fracture. It can significantly improve the function of hip joint and reduce the risk of postoperative complica-tions. As it is of significant effect and high safety, it is worthy of clinical popularization.