CAJ | 학술논문

目的探讨应用解剖学定位方法置入动力髋螺钉治疗股骨粗隆间骨折的临床可行性.方法在39例应用动力髋螺钉内固定治疗股骨粗隆间骨折的病例中,手术时应用解剖学定位方法置入动力髋螺钉的颈钉,在 X 线片上观察动力髋螺钉的颈钉在股骨颈中的位置.结果术后 X 线片显示:动力髋螺钉的颈钉位于股骨颈中央部位34例,位于股骨颈下部3例,位于股骨颈上部2例,动力髋螺钉的颈钉位于股骨颈中央部位的比率为87%.结论应用解剖学定位方法置入动力髋螺钉时能够使动力髋螺钉的颈钉位于股骨颈中央部位.本方法对提高手术质量,减少 X 线对手术人员的辐射等方面具有重要的临床意义.尤其对于手术时没有床旁 X 线仪器的基层医院其临床意义更为重要.
목적탐토응용해부학정위방법치입동력관라정치료고골조륭간골절적림상가행성.방법재39례응용동력관라정내고정치료고골조륭간골절적병례중,수술시응용해부학정위방법치입동력관라정적경정,재 X 선편상관찰동력관라정적경정재고골경중적위치.결과술후 X 선편현시:동력관라정적경정위우고골경중앙부위34례,위우고골경하부3례,위우고골경상부2례,동력관라정적경정위우고골경중앙부위적비솔위87%.결론응용해부학정위방법치입동력관라정시능구사동력관라정적경정위우고골경중앙부위.본방법대제고수술질량,감소 X 선대수술인원적복사등방면구유중요적림상의의.우기대우수술시몰유상방 X 선의기적기층의원기림상의의경위중요.
Objective To evaluate the clinical feasibility of using anatomic locating method of DHS on the treatment of intertrochanteric fracture. Methods In 39 cases of femoral intertrochanteric fracture used with dynamic hip screw in the operation, neck nail of dynamic hip screw were Placed using the atomical positioning method, Then to observe the position of dynamic hip screw in femoral neck In X rays. Results The postoperative X ray films show:the neck screw of DHS is located in the central part of femoral neck in 34 cases, 3 cases in The lower part of the femoral neck, 2 case in the upper part of femoral neck.. the rate of the cases in which the neck screw of DHS is located in the central part of femoral neck was 87%.Conclusion Using the anatomical localization method of DHS on treatment of femoral intertrochanteric fracture can locate the neck screw of DHS in the central part of the femoral neck. This method has the important clinical significance for improving surgery quality, reducing radiation of X-ray to the operation personnel. especially for the basic level hospital without the x-way instruments during the operation.