国际医药卫生导报
國際醫藥衛生導報
국제의약위생도보
INTERNATIONAL MEDICINE & HEALTH GUIDANCE NEWS
2013年
3期
349-351
,共3页
股骨近端锁定钢板%老年股骨粗隆间骨折%临床疗效
股骨近耑鎖定鋼闆%老年股骨粗隆間骨摺%臨床療效
고골근단쇄정강판%노년고골조륭간골절%림상료효
Locking anatomical plate%Intertrochanteric fracture in elderly patients%Clinical efficacy
目的 探讨分析股骨近端锁定钢板内固定治疗老年股骨粗隆间骨折的临床疗效.方法 选取我院2008年4月至2011年8月收治的40例股骨粗隆间骨折的老年患者,随机分成实验组与对照组,各20例.对照组接受传统钢板内固定术,实验组接受股骨近端锁定钢板内固定术.对比两组患者的临床疗效与愈合情况.结果 实验组的优良率为76％,对照组的优良率为68％,两组患者的手术疗效的差异比较无统计学意义(P＞0.05)；实验组与对照组的手术时间比较差异无统计学意义[(64.4±10.4)min vs (68.2±12)min,P＞0.05],实验组的住院时间[(10.2±2.2)d]与愈合时间[(113.2±16.5)d]均要显著短于对照组[(15.2±3.5)d,(136.7±14.4)d,P＜ 0.05].结论 股骨近端锁定钢板内固定治疗老年股骨粗隆间骨折效果显著,且能够缩短患者的愈合时间,值得推广.
目的 探討分析股骨近耑鎖定鋼闆內固定治療老年股骨粗隆間骨摺的臨床療效.方法 選取我院2008年4月至2011年8月收治的40例股骨粗隆間骨摺的老年患者,隨機分成實驗組與對照組,各20例.對照組接受傳統鋼闆內固定術,實驗組接受股骨近耑鎖定鋼闆內固定術.對比兩組患者的臨床療效與愈閤情況.結果 實驗組的優良率為76％,對照組的優良率為68％,兩組患者的手術療效的差異比較無統計學意義(P＞0.05)；實驗組與對照組的手術時間比較差異無統計學意義[(64.4±10.4)min vs (68.2±12)min,P＞0.05],實驗組的住院時間[(10.2±2.2)d]與愈閤時間[(113.2±16.5)d]均要顯著短于對照組[(15.2±3.5)d,(136.7±14.4)d,P＜ 0.05].結論 股骨近耑鎖定鋼闆內固定治療老年股骨粗隆間骨摺效果顯著,且能夠縮短患者的愈閤時間,值得推廣.
목적 탐토분석고골근단쇄정강판내고정치료노년고골조륭간골절적림상료효.방법 선취아원2008년4월지2011년8월수치적40례고골조륭간골절적노년환자,수궤분성실험조여대조조,각20례.대조조접수전통강판내고정술,실험조접수고골근단쇄정강판내고정술.대비량조환자적림상료효여유합정황.결과 실험조적우량솔위76％,대조조적우량솔위68％,량조환자적수술료효적차이비교무통계학의의(P＞0.05)；실험조여대조조적수술시간비교차이무통계학의의[(64.4±10.4)min vs (68.2±12)min,P＞0.05],실험조적주원시간[(10.2±2.2)d]여유합시간[(113.2±16.5)d]균요현저단우대조조[(15.2±3.5)d,(136.7±14.4)d,P＜ 0.05].결론 고골근단쇄정강판내고정치료노년고골조륭간골절효과현저,차능구축단환자적유합시간,치득추엄.
Objective To explore the clinical efficacy of locking anatomical plate in the treatment of intertrochanteric fracture in elderly patients.Methods 40 patients with intertrochanteric fracture who had been treated from April 2008 to August 2011 in our hospial were randomly divided into a study group and a control group,20 for each group.The control group received traditional plate fixation while the study group was treated with locking anatomical plate fixation.The clinical efficacy and healing of fracture were compared between the two groups.Results The excellent rate did not differ significantly between the study group and the control group (76％ vs.68％,P＞ 0.05).There was no significant difference in surgical duration between the two groups (P＞0.05).The length of hospital stay and time to fracture healing were shorter in the study group than in the control group (P ＜ 0.05).Conclusions Locking anatomical plate fixation has a significant efficacy in the treatment of intertrochanteric fracture in elderly patients and can shorten time to fracture healing.So it is worth popularizing.
