中国医学创新
中國醫學創新
중국의학창신
MEDICAL INNOVATION OF CHINA
2014年
18期
81-83
,共3页
动力髋螺旋刀片系统%髋部骨折%临床价值
動力髖螺鏇刀片繫統%髖部骨摺%臨床價值
동력관라선도편계통%관부골절%림상개치
Dynamic hip screw blade system%Hip fracture%Clinical value
目的：探讨动力髋螺旋刀片系统治疗髋部骨折的临床价值。方法：选取2011年3月-2013年3月本院收治的60例髋部骨折的患者，按照随机数字表法将其分为观察组和对照组各30例，观察组采用DHSA治疗，对照组则采用DHS治疗，观察比较两组患者的术中情况及术后严重并发症情况。其中并发症情况通过术后电话或门诊随访1年进行统计。结果：观察组的手术时间、住院时间和骨折愈合时间均明显短于对照组，术中出血量明显少于对照组，且观察组术后随访1年后的内固定断裂、股骨干骨折、髋关节内翻及肢体短缩的发生率均明显低于对照组，差异均有统计学意义（P<0.05）。结论：动力髋螺旋刀片系统治疗股骨转子间骨折是较理想的手术方法之一，值得临床推广。
目的：探討動力髖螺鏇刀片繫統治療髖部骨摺的臨床價值。方法：選取2011年3月-2013年3月本院收治的60例髖部骨摺的患者，按照隨機數字錶法將其分為觀察組和對照組各30例，觀察組採用DHSA治療，對照組則採用DHS治療，觀察比較兩組患者的術中情況及術後嚴重併髮癥情況。其中併髮癥情況通過術後電話或門診隨訪1年進行統計。結果：觀察組的手術時間、住院時間和骨摺愈閤時間均明顯短于對照組，術中齣血量明顯少于對照組，且觀察組術後隨訪1年後的內固定斷裂、股骨榦骨摺、髖關節內翻及肢體短縮的髮生率均明顯低于對照組，差異均有統計學意義（P<0.05）。結論：動力髖螺鏇刀片繫統治療股骨轉子間骨摺是較理想的手術方法之一，值得臨床推廣。
목적：탐토동력관라선도편계통치료관부골절적림상개치。방법：선취2011년3월-2013년3월본원수치적60례관부골절적환자，안조수궤수자표법장기분위관찰조화대조조각30례，관찰조채용DHSA치료，대조조칙채용DHS치료，관찰비교량조환자적술중정황급술후엄중병발증정황。기중병발증정황통과술후전화혹문진수방1년진행통계。결과：관찰조적수술시간、주원시간화골절유합시간균명현단우대조조，술중출혈량명현소우대조조，차관찰조술후수방1년후적내고정단렬、고골간골절、관관절내번급지체단축적발생솔균명현저우대조조，차이균유통계학의의（P<0.05）。결론：동력관라선도편계통치료고골전자간골절시교이상적수술방법지일，치득림상추엄。
To investigate the clinical value of dynamic hip screw blade system for hip fracture. Method:60 patients with hip fracture in our hospital from March 2011 to March 2013 were selected,they were randomly divided into the observation group and the control group according to the random number table method,30 cases in each group.The observation group was given DHSA treatment,and the control group was given DHS treatment,then intraoperative and postoperative serious complications in the two groups were observed and compared,which complications by telephone or outpatient follow-up after 1 year.Result:The operative time,hospital stay and fracture healing time in the observation group were significantly shorter than those in the control group,the amount of bleeding in the observation group was significantly less than the control group,and after 1 year of follow-up,the incidence of internal fixation of fracture,femoral shaft fracture,hip varus and limb shortening in the observation group were significantly lower than those in the control group,the differences were statistically significant(P<0.05).Conclusion:Dynamic hip screw blade system in the treatment of femoral intertrochanteric fracture is one of the ideal operation method,Dynamic hip screw blade system is an ideal one surgical method for hip fracture,it is worthy of clinical promotion.
