中国基层医药
中國基層醫藥
중국기층의약
CHINESE JOURNAL OF PRIMARY MEDICINE AND PHARMACY
2013年
17期
2613-2615
,共3页
骨钉%骨折固定术,髓内%股骨骨折%老年人
骨釘%骨摺固定術,髓內%股骨骨摺%老年人
골정%골절고정술,수내%고골골절%노년인
Bone nails%Fracture fixation,intramedullary%Femoral fractures%Aged
目的 探讨股骨近端抗旋转髓内钉内固定在老年人股骨粗隆间骨折治疗中的应用效果.方法 82例老年股骨粗隆间骨折患者按数字表法随机分为对照组41例、观察组41例,对照组采用动力髋螺钉内固定治疗,观察组采用股骨近端抗旋转髓内钉内固定治疗.随访6个月后,观察患者髋关节功能和生活质量的变化.结果 两组患者均无严重并发症.观察组优良率为90.2％,对照组优良率为75.6％,两组优良率差异有统计学意义(x2 =4.100,P＜0.05).两组手术后患者的生活质量均比术前提高,观察组比对照组提高更明显(t =4.752,P＜0.01).结论 股骨近端抗旋转髓内钉内固定可以提高老年人股骨粗隆间骨折的疗效和生活质量.
目的 探討股骨近耑抗鏇轉髓內釘內固定在老年人股骨粗隆間骨摺治療中的應用效果.方法 82例老年股骨粗隆間骨摺患者按數字錶法隨機分為對照組41例、觀察組41例,對照組採用動力髖螺釘內固定治療,觀察組採用股骨近耑抗鏇轉髓內釘內固定治療.隨訪6箇月後,觀察患者髖關節功能和生活質量的變化.結果 兩組患者均無嚴重併髮癥.觀察組優良率為90.2％,對照組優良率為75.6％,兩組優良率差異有統計學意義(x2 =4.100,P＜0.05).兩組手術後患者的生活質量均比術前提高,觀察組比對照組提高更明顯(t =4.752,P＜0.01).結論 股骨近耑抗鏇轉髓內釘內固定可以提高老年人股骨粗隆間骨摺的療效和生活質量.
목적 탐토고골근단항선전수내정내고정재노년인고골조륭간골절치료중적응용효과.방법 82례노년고골조륭간골절환자안수자표법수궤분위대조조41례、관찰조41례,대조조채용동력관라정내고정치료,관찰조채용고골근단항선전수내정내고정치료.수방6개월후,관찰환자관관절공능화생활질량적변화.결과 량조환자균무엄중병발증.관찰조우량솔위90.2％,대조조우량솔위75.6％,량조우량솔차이유통계학의의(x2 =4.100,P＜0.05).량조수술후환자적생활질량균비술전제고,관찰조비대조조제고경명현(t =4.752,P＜0.01).결론 고골근단항선전수내정내고정가이제고노년인고골조륭간골절적료효화생활질량.
Objective To explore the effect of proximal femoral intramedullary nail with anti-rotation (PFNA) in old patients with intertrochanteric fractures.Methods 82 patients with proximal femoral fractures were randomly divided into the control group(41 cases) and the observation group(41 cases).The patients in the control group were operated through DHS steel plate,while the patients in the observation group were operated through PFNA.After followed-up for six months,the function of hip joint and quality of life (QOL) of patients were compared between two groups.Results There wasn't any serious complications in two groups.The excellent and good rate was 90.2％ in the observation group and 75.6％ in the control group,there was significant difference between the two groups (x2 =4.100,P ＜ 0.05).The QOL after operation was increased in two groups,and the QOL in the observation group was higher than that in the control group(t =4.752,P ＜ 0.01).Conclusion The proximal femoral intramedullary nail with anti-rotation in treatment of old patients with intertrochanteric fractures can not only raise surgical treatment,but also improve QOL.
