中国组织工程研究
中國組織工程研究
중국조직공정연구
Journal of Clinical Rehabilitative Tissue Engineering Research
2014年
17期
2685-2690
,共6页
梁昌详%郑晓青%昌耘冰%顾宏林%黄帅豪
樑昌詳%鄭曉青%昌耘冰%顧宏林%黃帥豪
량창상%정효청%창운빙%고굉림%황수호
植入物%骨科植入物%股骨转子间骨折,髋部骨折,股骨近端防旋髓内钉,微创,小切口%内固定器
植入物%骨科植入物%股骨轉子間骨摺,髖部骨摺,股骨近耑防鏇髓內釘,微創,小切口%內固定器
식입물%골과식입물%고골전자간골절,관부골절,고골근단방선수내정,미창,소절구%내고정기
hip fractures%femur neck%internal fixators
背景：闭合复位股骨近端防旋髓内钉内固定渐渐成为治疗股骨转子间骨折的金标准。<br> 目的：通过与标准切口对比，评价精确定位法改良小切口使用股骨近端防旋髓内钉置入治疗股骨转子间骨折的优势。<br> 方法：股骨转子间骨折接受闭合复位股骨近端防旋髓内钉置入内固定治疗的患者99例，其中采用改良后小切口方法的患者41例，采用标准切口的58例。对比两组患者的切口长度、内固定中出血量、平均住院时间及内固定后Harris评分。<br> 结果与结论：采用改良切口组患者内固定中出血量较标准切口组少50.9%，切口长度短44%，平均置入内固定时间明显短于标准切口组(P<0.05)，两组患者平均住院时间及随访末期Harris评分值差异无显著性意义。说明使用股骨近端防旋髓内钉治疗股骨转子间骨折的病例，采用改良小切口具有切口更小，创伤更小，操作时间短及出血量少的优点。
揹景：閉閤複位股骨近耑防鏇髓內釘內固定漸漸成為治療股骨轉子間骨摺的金標準。<br> 目的：通過與標準切口對比，評價精確定位法改良小切口使用股骨近耑防鏇髓內釘置入治療股骨轉子間骨摺的優勢。<br> 方法：股骨轉子間骨摺接受閉閤複位股骨近耑防鏇髓內釘置入內固定治療的患者99例，其中採用改良後小切口方法的患者41例，採用標準切口的58例。對比兩組患者的切口長度、內固定中齣血量、平均住院時間及內固定後Harris評分。<br> 結果與結論：採用改良切口組患者內固定中齣血量較標準切口組少50.9%，切口長度短44%，平均置入內固定時間明顯短于標準切口組(P<0.05)，兩組患者平均住院時間及隨訪末期Harris評分值差異無顯著性意義。說明使用股骨近耑防鏇髓內釘治療股骨轉子間骨摺的病例，採用改良小切口具有切口更小，創傷更小，操作時間短及齣血量少的優點。
배경：폐합복위고골근단방선수내정내고정점점성위치료고골전자간골절적금표준。<br> 목적：통과여표준절구대비，평개정학정위법개량소절구사용고골근단방선수내정치입치료고골전자간골절적우세。<br> 방법：고골전자간골절접수폐합복위고골근단방선수내정치입내고정치료적환자99례，기중채용개량후소절구방법적환자41례，채용표준절구적58례。대비량조환자적절구장도、내고정중출혈량、평균주원시간급내고정후Harris평분。<br> 결과여결론：채용개량절구조환자내고정중출혈량교표준절구조소50.9%，절구장도단44%，평균치입내고정시간명현단우표준절구조(P<0.05)，량조환자평균주원시간급수방말기Harris평분치차이무현저성의의。설명사용고골근단방선수내정치료고골전자간골절적병례，채용개량소절구구유절구경소，창상경소，조작시간단급출혈량소적우점。
BACKGROUND:Closed reduction using proximal femoral nail antirotation gradual y becomes the golden standard in the treatment of intertrochanteric fractures. <br> OBJECTIVE:To evaluate the advantages of proximal femoral nail antirotation in the treatment of intertrochanteric fractures by a new way that accurate positioning is used to modify the skin incision. <br> METHODS:Ninety-nine patients with intertrochanteric fractures undergoing proximal femoral nail antirotation were included in the study, including 41 cases in the modified incision group and 58 cases in the standard operation group. Length of skin incision, mean bleeding volume, mean operation time, mean hospitalization time and the Harris scores were compared between two groups postoperatively. <br> RESULTS AND CONCLUSION:Compared with the standard incision group, the mean bleeding volume and length of skin incision were decreased by 50.9%and 44%respectively in the modified incision group, as wel as the mean operation time was also shorter in the modified incision group (P<0.05). However, there was no difference in mean hospitalization time and Harris scores at the end of fol ow-up. The modified incision is more suitable for proximal femoral nail antirotation treatment of intertrochanteric fractures, with smal er incision, less trauma, shorter operation time and less blood loss.
