中国社区医师
中國社區醫師
중국사구의사
Chinese Community Doctors
2014年
27期
26-26,28
,共2页
螺纹针%高龄老年人%髋部骨折
螺紋針%高齡老年人%髖部骨摺
라문침%고령노년인%관부골절
Thread needle%Elderly patients%Hip fracture
目的：探讨螺纹针微创手术治疗高龄老年人髋部骨折的临床效果。方法：2006年3月-2013年12月收治高龄老年人髋部骨折患者37例，均采用螺纹针微创手术治疗。结果：37例患者出现深静脉血栓1例，经过治疗均痊愈出院。出院后随访28例，时间6个月～5年，术后最早死亡1例在术后5个月，死于心力衰竭；1例术后6个月死于肺内感染；2例死于脑血管意外。全部粗隆间骨折愈合，4例发生髋内翻；3例股骨颈骨折发生骨不连，其中1例做了股骨头置换术；2例2根螺纹针发生断裂，但未影响固定。所有患者下肢基本等长。全部患者螺针尾部与皮肤形成滑囊，不能患侧卧，有痛感或轻度疼痛，影响全蹲，但可坐立，行走或扶单拐行走，21例生活自理。结论：采用螺纹针微创手术治疗高龄老年人髋部骨折手术创伤小、手术费用低，又节省了农合和医保的资金，值得推广。
目的：探討螺紋針微創手術治療高齡老年人髖部骨摺的臨床效果。方法：2006年3月-2013年12月收治高齡老年人髖部骨摺患者37例，均採用螺紋針微創手術治療。結果：37例患者齣現深靜脈血栓1例，經過治療均痊愈齣院。齣院後隨訪28例，時間6箇月～5年，術後最早死亡1例在術後5箇月，死于心力衰竭；1例術後6箇月死于肺內感染；2例死于腦血管意外。全部粗隆間骨摺愈閤，4例髮生髖內翻；3例股骨頸骨摺髮生骨不連，其中1例做瞭股骨頭置換術；2例2根螺紋針髮生斷裂，但未影響固定。所有患者下肢基本等長。全部患者螺針尾部與皮膚形成滑囊，不能患側臥，有痛感或輕度疼痛，影響全蹲，但可坐立，行走或扶單枴行走，21例生活自理。結論：採用螺紋針微創手術治療高齡老年人髖部骨摺手術創傷小、手術費用低，又節省瞭農閤和醫保的資金，值得推廣。
목적：탐토라문침미창수술치료고령노년인관부골절적림상효과。방법：2006년3월-2013년12월수치고령노년인관부골절환자37례，균채용라문침미창수술치료。결과：37례환자출현심정맥혈전1례，경과치료균전유출원。출원후수방28례，시간6개월～5년，술후최조사망1례재술후5개월，사우심력쇠갈；1례술후6개월사우폐내감염；2례사우뇌혈관의외。전부조륭간골절유합，4례발생관내번；3례고골경골절발생골불련，기중1례주료고골두치환술；2례2근라문침발생단렬，단미영향고정。소유환자하지기본등장。전부환자라침미부여피부형성활낭，불능환측와，유통감혹경도동통，영향전준，단가좌립，행주혹부단괴행주，21례생활자리。결론：채용라문침미창수술치료고령노년인관부골절수술창상소、수술비용저，우절성료농합화의보적자금，치득추엄。
Objective:To investigate the clinical effect of minimally invasive operation with threaded needle in the treatment of elderly patients with hip fracture.Methods:37 elderly patients with hip fracture were selected from March 2006 to December 2013. All of them were treated with threaded needle minimally invasive operation.Results:Among 37 cases,there was 1 case with deep vein thrombosis,and all the patients were cured after the treatment.28 cases were followed up after discharge from 6 months to 5 years.1 case died of heart power failure at 5 months after operation.1 case died of pulmonary infection after 6 months of the operation.2 cases died of cerebrovascular accident.All the intertrochanteric fracture were healed,and there were 4 cases of coxa vara,3 cases of femoral neck fracture nonunion,and 1 case of the femoral head replacement.2 thread needles broke in 2 cases,but that did not affect the fixation.All patients were with lower extremity basic isometric.All patients were screw tail and the formation of skin bursa;the limbs side cannot lie;pain or mild pain;affect the full squat,but can sitting;walking or one crutch walking.21 cases can live on their own.Conclusion:Minimally invasive operation with threaded needle in the treatment of elderly patients with hip fracture has small operation wound and low operation cost,and it also saves agricultural and medical insurance funds,so it is worthy of promotion.
