中国医学创新
中國醫學創新
중국의학창신
MEDICAL INNOVATION OF CHINA
2014年
29期
41-43
,共3页
髓内固定%钉板固定%股骨粗隆间骨折%临床疗效
髓內固定%釘闆固定%股骨粗隆間骨摺%臨床療效
수내고정%정판고정%고골조륭간골절%림상료효
Fixed-marrow%Peg-plates%Intertrochanter femur fractures%Clinical effects
目的：对比分析髓内固定与钉板固定治疗股骨粗隆间骨折的临床疗效。方法：收集本院2011年8月-2013年8月诊治的股骨粗隆间骨折患者84例作为研究对象，采用随机分组的方式将患者分为试验组与对照组，每组各42例。对照组患者采用钉板固定治疗，试验组采用髓内固定治疗，对两组患者的治疗效果进行分析对比。结果：两组患者的Harris评分比较差异无统计学意义（P>0.05），试验组手术时间略短于对照组，但组间比较差异无统计学意义（P>0.05），试验组患者的术中出血量和术后引流量明显少于对照组（P<0.05），住院时间明显短于对照组（P<0.05）。同时，试验组并发症发生率明显低于对照组（P<0.05）。结论：髓内固定治疗股骨粗隆间骨折的临床疗效优于钉板固定，能有效减少患者的术中出血量和术后引流量，缩短患者的住院时间，降低并发症发生率，值得在临床应用上推广。
目的：對比分析髓內固定與釘闆固定治療股骨粗隆間骨摺的臨床療效。方法：收集本院2011年8月-2013年8月診治的股骨粗隆間骨摺患者84例作為研究對象，採用隨機分組的方式將患者分為試驗組與對照組，每組各42例。對照組患者採用釘闆固定治療，試驗組採用髓內固定治療，對兩組患者的治療效果進行分析對比。結果：兩組患者的Harris評分比較差異無統計學意義（P>0.05），試驗組手術時間略短于對照組，但組間比較差異無統計學意義（P>0.05），試驗組患者的術中齣血量和術後引流量明顯少于對照組（P<0.05），住院時間明顯短于對照組（P<0.05）。同時，試驗組併髮癥髮生率明顯低于對照組（P<0.05）。結論：髓內固定治療股骨粗隆間骨摺的臨床療效優于釘闆固定，能有效減少患者的術中齣血量和術後引流量，縮短患者的住院時間，降低併髮癥髮生率，值得在臨床應用上推廣。
목적：대비분석수내고정여정판고정치료고골조륭간골절적림상료효。방법：수집본원2011년8월-2013년8월진치적고골조륭간골절환자84례작위연구대상，채용수궤분조적방식장환자분위시험조여대조조，매조각42례。대조조환자채용정판고정치료，시험조채용수내고정치료，대량조환자적치료효과진행분석대비。결과：량조환자적Harris평분비교차이무통계학의의（P>0.05），시험조수술시간략단우대조조，단조간비교차이무통계학의의（P>0.05），시험조환자적술중출혈량화술후인류량명현소우대조조（P<0.05），주원시간명현단우대조조（P<0.05）。동시，시험조병발증발생솔명현저우대조조（P<0.05）。결론：수내고정치료고골조륭간골절적림상료효우우정판고정，능유효감소환자적술중출혈량화술후인류량，축단환자적주원시간，강저병발증발생솔，치득재림상응용상추엄。
Objective:To make a contrast and analysis of clinical effects of the marrow-fixed treatment and peg-plate treatments for intertrochanter femur fractures. Method:84 patients suffered from intertrochanter femur fractures hospitalized during the period of August 2011 to August 2013 were selected and randomly divided into two groups, experimental group and control group,with 42 cases in each group.The control group were received the peg-plates treatment,at the same time the experimental group were received the marrow-fixed treatment,then the clinical effects in two groups were compared.Result:There was no significant difference in Harris between two groups(P>0.05),the operation time of the experimental was slightly shorter than the control group,but there was no statistical significance (P>0.05),the amount of the bleeding and drainage of the experimental group was significantly less than those of the control group(P<0.05),the hospital stays of the experimental groups was also significantly less than that of the control group.Meanwhile,the complicating diseases was significantly lower than that of the control group(P<0.05).Conclusion:The marrow-fixed treatment is better than peg-plates in terms of clinical effects,which can effectively decrease the amount of bleeding during the operation and the amount of drainage after the operation,shorten the hospital stays,reduce complicating diseases,therefore it’s worthy of clinical application.
