临床和实验医学杂志
臨床和實驗醫學雜誌
림상화실험의학잡지
JOURNAL OF CLINICAL AND EXPERIMENTAL MEDICINE
2014年
9期
740-743
,共4页
高龄%骨质疏松性股骨粗隆间骨折%钢丝张力带固定%人工髋关节置换术
高齡%骨質疏鬆性股骨粗隆間骨摺%鋼絲張力帶固定%人工髖關節置換術
고령%골질소송성고골조륭간골절%강사장력대고정%인공관관절치환술
Elderly%Osteoporotic intertrochanteric fracture%Wire tension band fixation%Artificial hip arthroplasty
目的：探讨钢丝张力带固定加人工髋关节置换术治疗高龄骨质疏松性股骨粗隆间骨折的临床效果。方法2011~2013年收治的50例高龄骨质疏松性股骨粗隆间骨折患者，随机分为两组，各25例。对照组采用人工髋关节置换术治疗，观察组采用钢丝张力带固定加人工髋关节置换术治疗。对比观察两组的手术时间、卧床时间、切口长度、术中出血量、引流量和临床疗效及术后并发症发生率。结果观察组患者的手术时间和卧床时间均明显比对照组短，切口长度也明显比对照组短，术中出血量和引流量均明显比对照组少（ P <0.05）；观察组患者的临床疗效优良率96.0％明显比对照组高（76.0％）（ P <0.05）；观察组患者的术后并发症发生率8.0％明显比对照组低（32.0％）（ P <0.05）。结论钢丝张力带固定加人工髋关节置换术在高龄骨质疏松性股骨粗隆间骨折中的应用效果良好。
目的：探討鋼絲張力帶固定加人工髖關節置換術治療高齡骨質疏鬆性股骨粗隆間骨摺的臨床效果。方法2011~2013年收治的50例高齡骨質疏鬆性股骨粗隆間骨摺患者，隨機分為兩組，各25例。對照組採用人工髖關節置換術治療，觀察組採用鋼絲張力帶固定加人工髖關節置換術治療。對比觀察兩組的手術時間、臥床時間、切口長度、術中齣血量、引流量和臨床療效及術後併髮癥髮生率。結果觀察組患者的手術時間和臥床時間均明顯比對照組短，切口長度也明顯比對照組短，術中齣血量和引流量均明顯比對照組少（ P <0.05）；觀察組患者的臨床療效優良率96.0％明顯比對照組高（76.0％）（ P <0.05）；觀察組患者的術後併髮癥髮生率8.0％明顯比對照組低（32.0％）（ P <0.05）。結論鋼絲張力帶固定加人工髖關節置換術在高齡骨質疏鬆性股骨粗隆間骨摺中的應用效果良好。
목적：탐토강사장력대고정가인공관관절치환술치료고령골질소송성고골조륭간골절적림상효과。방법2011~2013년수치적50례고령골질소송성고골조륭간골절환자，수궤분위량조，각25례。대조조채용인공관관절치환술치료，관찰조채용강사장력대고정가인공관관절치환술치료。대비관찰량조적수술시간、와상시간、절구장도、술중출혈량、인류량화림상료효급술후병발증발생솔。결과관찰조환자적수술시간화와상시간균명현비대조조단，절구장도야명현비대조조단，술중출혈량화인류량균명현비대조조소（ P <0.05）；관찰조환자적림상료효우량솔96.0％명현비대조조고（76.0％）（ P <0.05）；관찰조환자적술후병발증발생솔8.0％명현비대조조저（32.0％）（ P <0.05）。결론강사장력대고정가인공관관절치환술재고령골질소송성고골조륭간골절중적응용효과량호。
Objective To investigate the application effect of wire tension band fixation of artificial hip arthroplasty in the treatment of elderly osteoporotic intertrochanteric fracture. Methods The clinical data of 50 cases of elderly osteoporotic intertrochanteric fracture patients in our hospital from 2011 to 2013 were statistically analyzed. 50 patients were treated with two groups. The control group was treated with the treat-ment of hip replacement surgery,observation group was treated with tension band wire fixation of artificial hip arthroplasty. To observe comparing operative time,bed time,incision length,blood loss,drainage,and clinical efficacy and incidence of postoperative complications between the two groups . Results The operative time and bed time of the observation group were significantly shorter. The incision length was significantly shorter. The blood loss and drainage were significantly less than those of the control group( P <0. 05). The clinical excellent efficacy rate of the observa-tion group 96. 0% was significantly higher than that of the control group 76. 0%( P <0. 05). The postoperative complication rate 8. 0% was was significantly lower than that of the control group 32. 0%( P <0. 05). Conclusion The application effect of wire tension band fixation of artifi-cial hip arthroplasty is good in the treatment of elderly osteoporotic intertrochanteric fracture.
