CAJ | 학술논문

目的：对比观察两种方法（髓内固定系统和钉板固定系统）治疗股骨粗隆间骨折的临床疗效，为临床推广作出指导。方法选择53例股骨粗隆间骨折患者为研究对象，按手术方法分为髓内组和钉板组，髓内组采用髓内固定系统治疗，钉板组采用钉板固定系统治疗，比较两组患者术中、术后的各项指标以及治疗后的临床疗效。结果①两组患者术中、术后各项指标的比较：髓内组术中、术后各项指标均优于钉板组，其结果比较差异有统计学意义（P＜0．05）；②两组患者临床疗效的比较：髓内组的优良率为88．89％，钉板组的优良率为88．57％，其结果比较差异无统计学意义（ P＞0．05）。结论髓内固定系统和钉板固定系统治疗股骨粗隆间骨折的临床疗效均较好，但髓内固定系统具有切口小、出血少和恢复快等优势。
목적：대비관찰량충방법（수내고정계통화정판고정계통）치료고골조륭간골절적림상료효，위림상추엄작출지도。방법선택53례고골조륭간골절환자위연구대상，안수술방법분위수내조화정판조，수내조채용수내고정계통치료，정판조채용정판고정계통치료，비교량조환자술중、술후적각항지표이급치료후적림상료효。결과①량조환자술중、술후각항지표적비교：수내조술중、술후각항지표균우우정판조，기결과비교차이유통계학의의（P＜0．05）；②량조환자림상료효적비교：수내조적우량솔위88．89％，정판조적우량솔위88．57％，기결과비교차이무통계학의의（ P＞0．05）。결론수내고정계통화정판고정계통치료고골조륭간골절적림상료효균교호，단수내고정계통구유절구소、출혈소화회복쾌등우세。
Objective To explore two different internal fixation methods ,intramedullary fixation system and screw -plate fixation system for the treatment of intertrochanteric fractures ,in order to direct the clinical application .Methods From Jan.2007 to May 2013,53 cases of intertrochanteric fractures were retrospectively studied ,and the patients were divided into two groups:the intramedullary fixation group and the screw-plate fixation group .Procedure related index and postoperative recover situation of the two groups were compared .Results ①Procedure related index in the intramedullary fixation group were better than those of the screw -plate fixation group with a statistically signifi-cant difference(P<0.05).②The excellent and good rate in the intramedullary fixation group and the screw -plate fixation group was 88. 89%and 88.57%respectively with no statistical difference (P>0.05).Conclusion Both of the two treatment methods for intertrochanteric fractures can get excellent clinical efficacy .However,the intramedullary fixation system has advantages in smaller surgical injury ,less blood loss and faster recovery ,which is worth clinical application .