组织工程与重建外科杂志
組織工程與重建外科雜誌
조직공정여중건외과잡지
JOURNAL OF TISSUE ENGINEERING AND RECONSTRUCTIVE SURGERY
2014年
2期
100-103
,共4页
INTERTAN髓内钉%滑动髋螺钉%粗隆间骨折%粗隆下骨折
INTERTAN髓內釘%滑動髖螺釘%粗隆間骨摺%粗隆下骨摺
INTERTAN수내정%활동관라정%조륭간골절%조륭하골절
INTERTAN intramedullary nail%Sliding hip screw fracture%Intertrochanteric fracture%Subtrochanteric fracture
目的：比较INTERTAN髓内钉与滑动髋螺钉（DHS）治疗老年性粗隆间和粗隆下骨折的手术疗效。方法自2010年1月至2012年1月，对120例股骨粗隆间或粗隆下骨折患者分别行INTERTAN髓内钉或DHS固定治疗，其中INTERTAN组67例，DHS组53例。记录手术时间、术中出血量、术后引流量；进行术后疼痛评估、Harris髋骨评分、SF-36生活质量评估；记录并发症情况。结果本组中共有111例（INTERTAN组64例、DHS组47例）患者完成随访。两组间的手术时间无显著差异。DHS组的平均失血量及术后引流量较大，与INTERTAN组相比存在明显差异。VAS疼痛评分中，INTERTAN组术后3 d的VAS评分要优于DHS组，存在统计学差异；但术后3个月及12个月的随访中无明显差异。在术后3个月及12个月后，两组的Harris 髋关节评分和SF-36生活质量评分没有统计学差异。结论 INTERTAN和DHS治疗股骨粗隆间或粗隆下骨折，术后疼痛、功能、并发症的结果无明显差异。
目的：比較INTERTAN髓內釘與滑動髖螺釘（DHS）治療老年性粗隆間和粗隆下骨摺的手術療效。方法自2010年1月至2012年1月，對120例股骨粗隆間或粗隆下骨摺患者分彆行INTERTAN髓內釘或DHS固定治療，其中INTERTAN組67例，DHS組53例。記錄手術時間、術中齣血量、術後引流量；進行術後疼痛評估、Harris髖骨評分、SF-36生活質量評估；記錄併髮癥情況。結果本組中共有111例（INTERTAN組64例、DHS組47例）患者完成隨訪。兩組間的手術時間無顯著差異。DHS組的平均失血量及術後引流量較大，與INTERTAN組相比存在明顯差異。VAS疼痛評分中，INTERTAN組術後3 d的VAS評分要優于DHS組，存在統計學差異；但術後3箇月及12箇月的隨訪中無明顯差異。在術後3箇月及12箇月後，兩組的Harris 髖關節評分和SF-36生活質量評分沒有統計學差異。結論 INTERTAN和DHS治療股骨粗隆間或粗隆下骨摺，術後疼痛、功能、併髮癥的結果無明顯差異。
목적：비교INTERTAN수내정여활동관라정（DHS）치료노년성조륭간화조륭하골절적수술료효。방법자2010년1월지2012년1월，대120례고골조륭간혹조륭하골절환자분별행INTERTAN수내정혹DHS고정치료，기중INTERTAN조67례，DHS조53례。기록수술시간、술중출혈량、술후인류량；진행술후동통평고、Harris관골평분、SF-36생활질량평고；기록병발증정황。결과본조중공유111례（INTERTAN조64례、DHS조47례）환자완성수방。량조간적수술시간무현저차이。DHS조적평균실혈량급술후인류량교대，여INTERTAN조상비존재명현차이。VAS동통평분중，INTERTAN조술후3 d적VAS평분요우우DHS조，존재통계학차이；단술후3개월급12개월적수방중무명현차이。재술후3개월급12개월후，량조적Harris 관관절평분화SF-36생활질량평분몰유통계학차이。결론 INTERTAN화DHS치료고골조륭간혹조륭하골절，술후동통、공능、병발증적결과무명현차이。
Objective To compare the surgical efficacy between INTERTAN intramedullary nail and sliding hip screw in treating intertrochanteric or subtrochanteric fracture of old people. Methods From Jan 2010 to Jan 2012, 120 patients with Intertrochanteric or subtrochanteric Fractures were treated by INTERTAN intramedullary nail ( n=67) and sliding hip screw (n=53). Operation time, bleeding volume, amount of drainage, visual analogue scale (VAS) pain score, Harris hip score, SF-36 score and complications were recorded at each time points. Results Among all the patients, 111 patients (INTERTAN group: 64 cases; DHS group: 47 cases) were followed up for more than 1 year successfully. Bleeding volume and amount of drainage in INTERTAN group were larger than in DHS group. VAS score in INTERTAN group 3 days after operation was better than in DHS group, and there was no difference between the two groups 3 and 12 months after operation. There was no difference between the two groups in operation time, Harris hip score, SF-36 score and complications during the time of follow-up. Conclusion INTERTAN nails and sliding hip screws are similar in terms of pain, function, and comlications rates in treating intertrochanteric or subtrochanteric fractures.
