中外女性健康（下半月）
中外女性健康（下半月）
중외녀성건강（하반월）
CHINESE-FOREIGN WOMEN'S HEALTH
2014年
5期
8-9
,共2页
股骨转子间骨折%股骨颈骨折%内固定%人工髋关节置换术
股骨轉子間骨摺%股骨頸骨摺%內固定%人工髖關節置換術
고골전자간골절%고골경골절%내고정%인공관관절치환술
Intertrochanteric fractures%Femoral neck fracture%Internal fixation%Artificial hip arthroplasty
目的：探讨股骨转子间骨折及股骨颈骨折内固定失效后行人工髋关节置换术治疗效果。方法：钢板组及动力髋螺钉组患者均给予人工髋关节置换术治疗，记录两组患者治疗后骨水泥评级情况及髋关节功能恢复情况，给予统计学分析后得出结论。结果：AO加压空心螺钉组骨水泥评级大多处于B级（74.00%），而动力髋螺钉组骨水泥评级大多属于C级（62.00%）；两组患者治疗前Harris评分对比结果无显著差异（P>0.05）；经治疗后两组Harris评分情况均较治疗前显著改善（P<0.05），但两组改善效果对比无显著差异（P>0.05）。结论：临床医生应根据患者实际情况选择合适的内固定材料，从而获得更为满意的临床疗效及预后，为内固定失效实施人工髋关节置换术治疗提供有力条件。
目的：探討股骨轉子間骨摺及股骨頸骨摺內固定失效後行人工髖關節置換術治療效果。方法：鋼闆組及動力髖螺釘組患者均給予人工髖關節置換術治療，記錄兩組患者治療後骨水泥評級情況及髖關節功能恢複情況，給予統計學分析後得齣結論。結果：AO加壓空心螺釘組骨水泥評級大多處于B級（74.00%），而動力髖螺釘組骨水泥評級大多屬于C級（62.00%）；兩組患者治療前Harris評分對比結果無顯著差異（P>0.05）；經治療後兩組Harris評分情況均較治療前顯著改善（P<0.05），但兩組改善效果對比無顯著差異（P>0.05）。結論：臨床醫生應根據患者實際情況選擇閤適的內固定材料，從而穫得更為滿意的臨床療效及預後，為內固定失效實施人工髖關節置換術治療提供有力條件。
목적：탐토고골전자간골절급고골경골절내고정실효후행인공관관절치환술치료효과。방법：강판조급동력관라정조환자균급여인공관관절치환술치료，기록량조환자치료후골수니평급정황급관관절공능회복정황，급여통계학분석후득출결론。결과：AO가압공심라정조골수니평급대다처우B급（74.00%），이동력관라정조골수니평급대다속우C급（62.00%）；량조환자치료전Harris평분대비결과무현저차이（P>0.05）；경치료후량조Harris평분정황균교치료전현저개선（P<0.05），단량조개선효과대비무현저차이（P>0.05）。결론：림상의생응근거환자실제정황선택합괄적내고정재료，종이획득경위만의적림상료효급예후，위내고정실효실시인공관관절치환술치료제공유력조건。
Objective: Discussion intertrochanteric fracture fixation failure and femoral neck fracture underwent hip replacement surgery treatment. Methods: Plate group and dynamic hip screw group of patients were given the treatment of hip replacement surgery, recording two groups of patients after cementless hip rating conditions and functional recovery, given the statistical analysis concluded. Resulst:AO cannulated screw set mostly in cement rating Class B (74.00%), while the dynamic hip screw group cemented rating mostly C-level (62.00%);two groups of patients before Harris score comparison was no significant difference (P>0.05);Harris scores two groups after treatment than before treatment conditions improved significantly (P<0.05), but there was no significant effect of improving the contrast difference (P> 0.05). Conclusion: Clinicians should be selected according to the actual situation of the patient fixation material suitable to obtain a more satisfactory clinical outcome and prognosis for the failure to implement a fixed hip arthroplasty provided favorable conditions.
