当代医学
噹代醫學
당대의학
CHINA CONTEMPORARY MEDICINE
2013年
30期
68-69
,共2页
微创内固定系统%严重骨折%股骨上段%可行性
微創內固定繫統%嚴重骨摺%股骨上段%可行性
미창내고정계통%엄중골절%고골상단%가행성
Severe fracture%Upper femur%Minimally invasive internal ifxation system%Feasibility
目的：探讨微创内固定系统对于严重股骨上段骨折的治疗可行性与效果。方法选取2010年10月-2012年10月期间收治的严重股骨上段骨折患者共40例作为研究对象，按照数字随机表方式将其划分为观察组、对照组，每组患者各计20例，以上患者均为闭合性损伤。观察组患者采取微创内固定系统治疗，治疗方法为：于其股骨大转子的外侧作一约5 cm的切口，将AOLISS钢板放置于其中，术后3 d由护理人员引导患者进行功能训练。对照组为常规治疗方法。出院后每个月要求患者回院进行1次X线检查，以确定其骨折康复情况。结果对所有患者进行回访。观察组患者创口均Ⅰ级愈合，骨折部位骨性愈合平均时间为（7.0±0.5）个月。根据对膝关节功能恢复进行评分，优秀14例，良共5例，尚可1例。对照组患者创口12例为Ⅰ级愈合，8例患者为级愈合，愈合平均时间为（12.5±1.2）个月。膝关节功能恢复评分方面，优秀8例，良7例，尚可5例。观察组各项治疗结果均优于对照组，数据对比存在显著差异（P＜0.05），具有统计学意义。结论对严重股骨上段骨折实施微创内固定系统治疗具有安全性与可行性，且患者康复情况良好。
目的：探討微創內固定繫統對于嚴重股骨上段骨摺的治療可行性與效果。方法選取2010年10月-2012年10月期間收治的嚴重股骨上段骨摺患者共40例作為研究對象，按照數字隨機錶方式將其劃分為觀察組、對照組，每組患者各計20例，以上患者均為閉閤性損傷。觀察組患者採取微創內固定繫統治療，治療方法為：于其股骨大轉子的外側作一約5 cm的切口，將AOLISS鋼闆放置于其中，術後3 d由護理人員引導患者進行功能訓練。對照組為常規治療方法。齣院後每箇月要求患者迴院進行1次X線檢查，以確定其骨摺康複情況。結果對所有患者進行迴訪。觀察組患者創口均Ⅰ級愈閤，骨摺部位骨性愈閤平均時間為（7.0±0.5）箇月。根據對膝關節功能恢複進行評分，優秀14例，良共5例，尚可1例。對照組患者創口12例為Ⅰ級愈閤，8例患者為級愈閤，愈閤平均時間為（12.5±1.2）箇月。膝關節功能恢複評分方麵，優秀8例，良7例，尚可5例。觀察組各項治療結果均優于對照組，數據對比存在顯著差異（P＜0.05），具有統計學意義。結論對嚴重股骨上段骨摺實施微創內固定繫統治療具有安全性與可行性，且患者康複情況良好。
목적：탐토미창내고정계통대우엄중고골상단골절적치료가행성여효과。방법선취2010년10월-2012년10월기간수치적엄중고골상단골절환자공40례작위연구대상，안조수자수궤표방식장기화분위관찰조、대조조，매조환자각계20례，이상환자균위폐합성손상。관찰조환자채취미창내고정계통치료，치료방법위：우기고골대전자적외측작일약5 cm적절구，장AOLISS강판방치우기중，술후3 d유호리인원인도환자진행공능훈련。대조조위상규치료방법。출원후매개월요구환자회원진행1차X선검사，이학정기골절강복정황。결과대소유환자진행회방。관찰조환자창구균Ⅰ급유합，골절부위골성유합평균시간위（7.0±0.5）개월。근거대슬관절공능회복진행평분，우수14례，량공5례，상가1례。대조조환자창구12례위Ⅰ급유합，8례환자위급유합，유합평균시간위（12.5±1.2）개월。슬관절공능회복평분방면，우수8례，량7례，상가5례。관찰조각항치료결과균우우대조조，수거대비존재현저차이（P＜0.05），구유통계학의의。결론대엄중고골상단골절실시미창내고정계통치료구유안전성여가행성，차환자강복정황량호。
Objective To analyze and explore the minimally invasive internal ifxation system for the treatment of serious feasibility and effect of the proximal femur fracture. Methods severe proximal femur the hospital from October 2010 to October 2012 fractures treated patients with a total of 40 cases as the research object, according to the random number table method can be divided into observation group and control group, 20 cases of patients in each group, the patients were closed injury. The patients in the observation group were treated with minimally invasive internal ifxation system, treatment method is:in the lateral trochanter of femur made an incision about 5 cm, the AOLISS plate disposed therein, postoperative 3 D by nursing personnel in patients with functional training guide. The control group received conventional treatment method. Each month after discharge in patients with back to school 1 times of X-ray examination, to determine the fracture recovery. Results all patients were follow-up on. The patients in observation group were healed wound, fracture healing time was (7 ± 0.5) months. According to the score on the recovery of knee joint function, excellent 14 cases, good in 5 cases, 1 cases were fair. Patients in the control group 12 cases of wound healing in grade I, 8 cases as grade healing, healing time for an average of (12.5 ± 1.2) months. Recovery of knee joint function score, excellent in 8 cases, good in 7 cases, 5 cases were fair. To observe the results of treatment group were better than the control group, there was a signiifcant difference in comparison of the data (P<0.05), with statistical signiifcance. Conclusion Minimally invasive internal ifxation system has safety and feasibility in treatment of severe proximal femoral fracture, and the rehabilitation of patients are good.
