当代医药论丛
噹代醫藥論叢
당대의약론총
Contemporary Medicine Forum
2014年
2期
79-80
,共2页
股骨粗隆间骨折%动力髋螺钉%锁定钢板%交锁髓内钉%内固定
股骨粗隆間骨摺%動力髖螺釘%鎖定鋼闆%交鎖髓內釘%內固定
고골조륭간골절%동력관라정%쇄정강판%교쇄수내정%내고정
Intertrochanteric fractures%DHS%LCP%PFN%internal fixation
比较不同手术内固定方法治疗股骨粗隆间骨折的效果。方法:回顾性分析55例股骨粗隆间骨折患者内固定手术治疗方案的优劣。结果:本组55例股骨粗隆间骨折患者,其中,采用DHS内固定16例,2例发生髋内翻;PFN内固定16例,1例愈合较好;LCP内固定23例,全部愈合良好。结论:对于股骨粗隆间骨折,LCP内固定具有创伤小、操作简单的优点,对于大部分固定稳定的骨折,可达到良好的疗效;PFN内固定具有手术创伤小、操作简单、固定牢靠、抗旋转性强和骨折术后并发症少的优点;DHS内固定易导致股骨颈内骨量丧失,患者失血量较多,不方便旋转,一旦松动,则不易固定牢靠,且易穿出股骨头,不推荐使用。
比較不同手術內固定方法治療股骨粗隆間骨摺的效果。方法:迴顧性分析55例股骨粗隆間骨摺患者內固定手術治療方案的優劣。結果:本組55例股骨粗隆間骨摺患者,其中,採用DHS內固定16例,2例髮生髖內翻;PFN內固定16例,1例愈閤較好;LCP內固定23例,全部愈閤良好。結論:對于股骨粗隆間骨摺,LCP內固定具有創傷小、操作簡單的優點,對于大部分固定穩定的骨摺,可達到良好的療效;PFN內固定具有手術創傷小、操作簡單、固定牢靠、抗鏇轉性彊和骨摺術後併髮癥少的優點;DHS內固定易導緻股骨頸內骨量喪失,患者失血量較多,不方便鏇轉,一旦鬆動,則不易固定牢靠,且易穿齣股骨頭,不推薦使用。
비교불동수술내고정방법치료고골조륭간골절적효과。방법:회고성분석55례고골조륭간골절환자내고정수술치료방안적우렬。결과:본조55례고골조륭간골절환자,기중,채용DHS내고정16례,2례발생관내번;PFN내고정16례,1례유합교호;LCP내고정23례,전부유합량호。결론:대우고골조륭간골절,LCP내고정구유창상소、조작간단적우점,대우대부분고정은정적골절,가체도량호적료효;PFN내고정구유수술창상소、조작간단、고정뢰고、항선전성강화골절술후병발증소적우점;DHS내고정역도치고골경내골량상실,환자실혈량교다,불방편선전,일단송동,칙불역고정뢰고,차역천출고골두,불추천사용。
to analyze and compare the intertrochanteric femoral fracture operation treatment.Methods:to analyses on 55 patients with internal fixation operation treatment of intertrochanteric fracture,retrospective analysis of clinical data.Results:DHS internal fixation in 16 cases,2 cases of coxa vara;PFN internal fixation in 16 cases,1 cases of poor healing;LCP internal fixation in 23 cases, all healed well.Conclusion:for intertrochanteric fractures,LCP internal fixation with less trauma,simple operation,for the efficacy of most of the fixed stable fracture is good;PFN internal fixation has the advantages of small operation wound,simple operation,reliable fixation, strong anti-rotation and fracture complications;DHS internal fixation,femoral neck bone mass loss,the amount of blood loss more, can not prevent rotation, and if it loosen,not easy to fixation,and easily out of the femoral head.