CAJ | 학술논문

目的探讨人工股骨头置换及动力髋螺钉治疗股骨粗隆间骨折情况的对比情况。方法选取2010年1月至2011年12月期间，本院收治的股骨粗隆间骨折患者128例，电脑随机分成观察组64例，对照组64例，给予对照组动力髋螺钉治疗，给予观察组人工股骨头置换术治疗，对比两组患者的临床疗效情况。结果观察组出现肺部感染1例，切口感染1例，并发症发生率3.13%；对照组出现肺部感染3例，切口感染2例，褥疮2例，静脉血栓3例，并发症发生率15.63%。观察组疗效优23例，疗效良32例，疗效中7例，疗效差2例，疗效优良率85.94%；对照组疗效优14例，疗效良28例，疗效中14例，疗效差8例，疗效优良率65.63%。观察组的并发症发生率明显低于对照组，疗效优良率明显高于对照组 P ＜0.05，均具有统计学意义。结论人工股骨头置换在治疗股骨粗隆间骨折上具有显著的临床疗效，并具有恢复快、并发症少的优点，值得临床进一步推广使用。
목적탐토인공고골두치환급동력관라정치료고골조륭간골절정황적대비정황。방법선취2010년1월지2011년12월기간，본원수치적고골조륭간골절환자128례，전뇌수궤분성관찰조64례，대조조64례，급여대조조동력관라정치료，급여관찰조인공고골두치환술치료，대비량조환자적림상료효정황。결과관찰조출현폐부감염1례，절구감염1례，병발증발생솔3.13%；대조조출현폐부감염3례，절구감염2례，욕창2례，정맥혈전3례，병발증발생솔15.63%。관찰조료효우23례，료효량32례，료효중7례，료효차2례，료효우량솔85.94%；대조조료효우14례，료효량28례，료효중14례，료효차8례，료효우량솔65.63%。관찰조적병발증발생솔명현저우대조조，료효우량솔명현고우대조조 P ＜0.05，균구유통계학의의。결론인공고골두치환재치료고골조륭간골절상구유현저적림상료효，병구유회복쾌、병발증소적우점，치득림상진일보추엄사용。
Objective To investigate the effect of artificial femoral head replacement and dynamic hip screw in treatment of femoral intertrochanteric fracture of the contrast. Methods from 2010 January to 2011 during December, patients admitted to our hospital 128 cases of intertrochanteric fracture of the femur, the computer randomly divided into observation group 64 cases, control group 64 cases, control group received the treatment of dynamic hip screw, given the observed treatment group of artificial femoral head replacement, and clinical efficacy compared two groups of patients. Results The observation group of 1 cases of pulmonary infection, incision infection in 1 cases, the complication rate was 3.13%; the control group of 3 cases of pulmonary infection, incision infection in 2 cases, 2 cases of bedsore, 3 cases of venous thrombosis, the incidence of complications was 15.63%. The curative effect of therapeutic group was excellent in 23 cases, 32 cases were good curative effect, 7 cases, poor effect in 2 cases, the excellent and good rate of the curative effect of 85.94%; the control group curative effect was excellent in 14 cases, 28 cases were good curative effect, 14 cases, poor effect in 8 cases, the excellent and good rate of the curative effect of 65.63%. The complications observation group was significantly lower than the control group, the excellent and good rate was significantly higher than the effect of P<0.05 in the control group, there is statistical significance. Conclusion artificial femoral head replacement in the treatment of intertrochanteric fracture has significant clinical efficacy, and has fewer complications, faster recovery, worthy of further clinical application.