CAJ | 학술논문

目的：探讨在股骨粗隆间粉碎性骨折患者中，应用锁定鹅头钉内固定治疗方案的临床疗效。方法：选取本院2011年7月-2014年6月收治的股骨粗隆间粉碎性骨折患者80例进行分析，将其随机分为对照组（40例）和观察组（40例）。对照组采用股骨近端锁定钢板内固定方案，观察组采用锁定鹅头钉内固定方案，观察两组患者的临床治疗效果。结果：观察组的治疗总有效率明显高于对照组，患者的骨折愈合时间短于对照组，并发症的发生率低于对照组，差异均具有统计学意义（P<0.05）。结论：在股骨粗隆间粉碎性骨折患者中，应用锁定鹅头钉内固定治疗方案，临床疗效更佳，患者骨折的愈合时间短，相关并发症的发生率低，值得临床推广。
목적：탐토재고골조륭간분쇄성골절환자중，응용쇄정아두정내고정치료방안적림상료효。방법：선취본원2011년7월-2014년6월수치적고골조륭간분쇄성골절환자80례진행분석，장기수궤분위대조조（40례）화관찰조（40례）。대조조채용고골근단쇄정강판내고정방안，관찰조채용쇄정아두정내고정방안，관찰량조환자적림상치료효과。결과：관찰조적치료총유효솔명현고우대조조，환자적골절유합시간단우대조조，병발증적발생솔저우대조조，차이균구유통계학의의（P<0.05）。결론：재고골조륭간분쇄성골절환자중，응용쇄정아두정내고정치료방안，림상료효경가，환자골절적유합시간단，상관병발증적발생솔저，치득림상추엄。
Objective:To investigate clinical efficacy of locking goose head nail internal fixation in the treatment of intertrochanteric comminuted fractures.Method:Selected in our hospital from 2011 July to 2014 June were intertrochanteric comminuted fractures in 80 patients were analyzed,they were randomly divided into control group(40 cases)and observation group(40 cases).The control group used the proximal femoral locking plate fixation scheme,the observation group with locking goose head nail internal fixation solution,observe the clinical effect of treatment of two groups of patients. Result:The total effective rate of observation group was significantly higher than the control group, patients with fracture healing time was shorter than the control group,the incidence rate of complications was lower than the control group(P<0.05),with statistical significance.Conclusion:In the intertrochanteric comminuted fracture patients,the application of locking goose head nail internal fixation for the treatment of patients with clinical curative effect is better,the scheme,fracture healing time is short,low incidence of related complications,is worth the clinical promotion.