CAJ | 학술논문

目的：对采用不同内固定方式固定股骨转子间骨折的疗效进行观察，并比较分析，为股骨转子间骨折的治疗提供科学依据。方法：2010年1月-2014年1月收治股骨转子间骨折患者145例，随机分成两组，73例患者给予锁定钢板内固定方式固定设为观察组；72例患者给予动力髋螺钉内固定方式固定设为对照组。对两组患者的手术出血量、手术时间、引流量、住院时间等进行观察并记录，对数据结果进行比较分析，观察疗效。结果：观察组的平均手术出血量(224.87±12.69)mL，平均手术时间(95.36±14.73)min，平均引流量(115.02±11.75)mL，平均住院时间(15.05±4.74)d；对照组的平均手术出血量(316.24±104.68)mL，平均手术时间(126.83±22.04)min，平均引流量(134.25±7.76)mL，平均住院时间(16.74±4.02)d。在手术出血量、手术时间、引流量方面，两组比较差异具有统计学意义(P＜0.05)；在住院时间方面，两组比较差异无统计学意义(P＞0.05)。结论：对股骨转子间骨折患者，锁定钢板内固定和动力髋螺钉内固定的临床效果都较为满意，但是采用锁定钢板内固定，能够有效减少出血、伤口愈合快，更具有临床推广价值。
목적：대채용불동내고정방식고정고골전자간골절적료효진행관찰，병비교분석，위고골전자간골절적치료제공과학의거。방법：2010년1월-2014년1월수치고골전자간골절환자145례，수궤분성량조，73례환자급여쇄정강판내고정방식고정설위관찰조；72례환자급여동력관라정내고정방식고정설위대조조。대량조환자적수술출혈량、수술시간、인류량、주원시간등진행관찰병기록，대수거결과진행비교분석，관찰료효。결과：관찰조적평균수술출혈량(224.87±12.69)mL，평균수술시간(95.36±14.73)min，평균인류량(115.02±11.75)mL，평균주원시간(15.05±4.74)d；대조조적평균수술출혈량(316.24±104.68)mL，평균수술시간(126.83±22.04)min，평균인류량(134.25±7.76)mL，평균주원시간(16.74±4.02)d。재수술출혈량、수술시간、인류량방면，량조비교차이구유통계학의의(P＜0.05)；재주원시간방면，량조비교차이무통계학의의(P＞0.05)。결론：대고골전자간골절환자，쇄정강판내고정화동력관라정내고정적림상효과도교위만의，단시채용쇄정강판내고정，능구유효감소출혈、상구유합쾌，경구유림상추엄개치。
Objective:To observe the curative effect of using different internal fixation methods for the fixation of intertrochanteric fracture and comparatively analyzed,to provide the scientific basis for the treatment of intertrochanteric fracture.Methods:145 patients with intertrochanteric fracture were selected from January 2010 to January 2014.They were randomly divided into two groups.73 patients were treated with locking plate fixation method as the observation group.72 patients were treated with dynamic hip screw fixation method as the control group.The operation bleeding volume,operation time,volume of drainage and hospitalization time of patients in two groups were observed and recorded.The data results were analyzed.The curative effect was observed.Results:The average operation bleeding volume of the observation group was (224.87±12.69)mL;the average operating time was (95.36±14.73)minutes;the average volume of drainage was (115.02±11.75)mL;the average hospitalization time was (15.05 ± 4.74)days.The average operation bleeding volume of the comparison group was (316.24 ± 104.68)mL;the average operating time was (126.83±22.04)minutes;the average volume of drainage was (134.25±7.76)mL;the average hospitalization time was (16.74±4.02)days.In the operation bleeding volume, operating time,volume of drainage,the differences were statistically significant between two groups(P<0.05).In the hospitalization time,the difference was no statistically significant between the two groups(P>0.05).Conclusion:For patients with intertrochanteric fracture,the clinical effects of locking plate fixation and dynamic hip screw fixation are satisfactory,but using locking plate fixation can effectively reduce bleeding.The wound healing is fast.It has more clinical popularization value.