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
19期
1623-1626
,共4页
老年人%股骨颈骨折%内固定%空心拉力螺钉%首尾钉
老年人%股骨頸骨摺%內固定%空心拉力螺釘%首尾釘
노년인%고골경골절%내고정%공심랍력라정%수미정
Elderly%Femoral neck fracture%Internal fixation%Cancellous bone screw%Head and tail nail
目的：观察分析并比较空心拉力螺钉内固定与首尾钉内固定治疗老年人不同类型股骨颈骨折的效果。方法对老年人股骨颈骨折的病例进行回顾性分析，筛选获得1年以上随访的病例103例，根据手术方法不同分为两组，A组55例采用空心拉力螺钉内固定进行治疗，B组48例采用首尾钉内固定进行治疗。对患者进行Harris评分，观察患者整体治疗效果，并比较头下型、经颈型和基底型骨折的疗效。结果术后骨折复位情况比较：两组间差异无统计学意义（ P >0.05）。两组患者不同类型术后髋关节Harris评分均有不同程度的改善。头下型骨折：A组优良率为91.2％，B组优良率为62.5％，A组优良率高于B组（ P <0.05）；经颈型骨折：A组优良率为83.3％，B组优良率为83.3％，两组优良率比较差异无统计学意义（ P >0.05）；基底型骨折：A组优良率为66.7％，B组优良率为95.0％，B组优良率高于A组（ P <0.05）。结论空心拉力螺钉内固定与首尾钉内固定治疗老年人股骨颈骨折，都可以达到良好的骨折复位效果，头下型骨折空心拉力螺钉内固定效果更优，基底型骨折首尾钉内固定效果更优。
目的：觀察分析併比較空心拉力螺釘內固定與首尾釘內固定治療老年人不同類型股骨頸骨摺的效果。方法對老年人股骨頸骨摺的病例進行迴顧性分析，篩選穫得1年以上隨訪的病例103例，根據手術方法不同分為兩組，A組55例採用空心拉力螺釘內固定進行治療，B組48例採用首尾釘內固定進行治療。對患者進行Harris評分，觀察患者整體治療效果，併比較頭下型、經頸型和基底型骨摺的療效。結果術後骨摺複位情況比較：兩組間差異無統計學意義（ P >0.05）。兩組患者不同類型術後髖關節Harris評分均有不同程度的改善。頭下型骨摺：A組優良率為91.2％，B組優良率為62.5％，A組優良率高于B組（ P <0.05）；經頸型骨摺：A組優良率為83.3％，B組優良率為83.3％，兩組優良率比較差異無統計學意義（ P >0.05）；基底型骨摺：A組優良率為66.7％，B組優良率為95.0％，B組優良率高于A組（ P <0.05）。結論空心拉力螺釘內固定與首尾釘內固定治療老年人股骨頸骨摺，都可以達到良好的骨摺複位效果，頭下型骨摺空心拉力螺釘內固定效果更優，基底型骨摺首尾釘內固定效果更優。
목적：관찰분석병비교공심랍력라정내고정여수미정내고정치료노년인불동류형고골경골절적효과。방법대노년인고골경골절적병례진행회고성분석，사선획득1년이상수방적병례103례，근거수술방법불동분위량조，A조55례채용공심랍력라정내고정진행치료，B조48례채용수미정내고정진행치료。대환자진행Harris평분，관찰환자정체치료효과，병비교두하형、경경형화기저형골절적료효。결과술후골절복위정황비교：량조간차이무통계학의의（ P >0.05）。량조환자불동류형술후관관절Harris평분균유불동정도적개선。두하형골절：A조우량솔위91.2％，B조우량솔위62.5％，A조우량솔고우B조（ P <0.05）；경경형골절：A조우량솔위83.3％，B조우량솔위83.3％，량조우량솔비교차이무통계학의의（ P >0.05）；기저형골절：A조우량솔위66.7％，B조우량솔위95.0％，B조우량솔고우A조（ P <0.05）。결론공심랍력라정내고정여수미정내고정치료노년인고골경골절，도가이체도량호적골절복위효과，두하형골절공심랍력라정내고정효과경우，기저형골절수미정내고정효과경우。
Objective To analyze and compare the efficacies of internal fixation by the cancellous bone screw and by the head and tail nail in the treatment of femoral neck fracture of the elderly. Methods 103 cases of elderly femoral neck fractures who were followed up for more than one year accepted the retrospective analysis. They were divided into group A(n=55)and group B(n=48)according to the treatment they received. Group A was treated by cancellous bone screw,and group B was treated by head and tail nail. The efficacy was evaluated by Harris score. Results There was no statistical difference in the efficacy of the treatment between two groups( P >0. 05)and Harris score was improved in each type of femoral neck fracture. However,the excellent rate was higher in group A than in group B(91. 2% vs. 62. 5%)for subcapital type ( P <0. 05),the same(83. 3% vs. 83. 3%)for transcervical type( P >0. 05),and lower in group A than in group B(66. 7% vs. 95. 0%) ( P <0. 05)for basicervical type of femoral neck fracture. Conclusion Both cancellous bone screw fixation and head and tail nail fixation can a-chieve good results for the treatment of femoral neck fracture of the elderly;and cancellous bone screw internal fixation is better for subcapital type, and head and tail nail internal fixation is better for basicervical type of femoral neck fracture.
