中国当代医药
中國噹代醫藥
중국당대의약
PERSON
2015年
3期
43-44,47
,共3页
髓内钉%髋螺钉%VAS评分%引流量
髓內釘%髖螺釘%VAS評分%引流量
수내정%관라정%VAS평분%인류량
Intramuscular nail%Hip screw%VAS score%Drainage
目的:研究INTERTAN髓内钉与滑动髋螺钉(DHS)治疗老年性粗隆间和粗隆下骨折的效果。方法选取2012年1月~2014年1月在本院进行治疗的老年粗隆间和粗隆下骨折患者80例,按照随机数字表法分为髓内钉组40例和髋螺钉组40例。比较两组患者的术中出血量、术后引流量、手术时间等,术后3、6个月分别进行视觉模拟评分(VAS)。结果两组手术时间差异无统计学意义(P>0.05);髓内钉组术中出血量和术后引流量明显少于髋螺钉组,差异有统计学意义(P<0.05)。两组患者术后3、6个月VAS评分比较,差异无统计学意义(P>0.05)。结论髓内钉与髋螺钉治疗老年性粗隆间和粗隆下骨折,髓内钉方式优于髋螺钉方式,在术后恢复、并发症方面两种方式并无明显差异。
目的:研究INTERTAN髓內釘與滑動髖螺釘(DHS)治療老年性粗隆間和粗隆下骨摺的效果。方法選取2012年1月~2014年1月在本院進行治療的老年粗隆間和粗隆下骨摺患者80例,按照隨機數字錶法分為髓內釘組40例和髖螺釘組40例。比較兩組患者的術中齣血量、術後引流量、手術時間等,術後3、6箇月分彆進行視覺模擬評分(VAS)。結果兩組手術時間差異無統計學意義(P>0.05);髓內釘組術中齣血量和術後引流量明顯少于髖螺釘組,差異有統計學意義(P<0.05)。兩組患者術後3、6箇月VAS評分比較,差異無統計學意義(P>0.05)。結論髓內釘與髖螺釘治療老年性粗隆間和粗隆下骨摺,髓內釘方式優于髖螺釘方式,在術後恢複、併髮癥方麵兩種方式併無明顯差異。
목적:연구INTERTAN수내정여활동관라정(DHS)치료노년성조륭간화조륭하골절적효과。방법선취2012년1월~2014년1월재본원진행치료적노년조륭간화조륭하골절환자80례,안조수궤수자표법분위수내정조40례화관라정조40례。비교량조환자적술중출혈량、술후인류량、수술시간등,술후3、6개월분별진행시각모의평분(VAS)。결과량조수술시간차이무통계학의의(P>0.05);수내정조술중출혈량화술후인류량명현소우관라정조,차이유통계학의의(P<0.05)。량조환자술후3、6개월VAS평분비교,차이무통계학의의(P>0.05)。결론수내정여관라정치료노년성조륭간화조륭하골절,수내정방식우우관라정방식,재술후회복、병발증방면량충방식병무명현차이。
Objective To study the clinical efficacy of INTERTAN intramuscular nail and sliding hip screw in treat-ment of elderly intertrochanteric and subtrochanteric fractures. Methods 80 patients with elderly intertrochanteric and subtrochanteric fractures treated in our hospital from January 2012 to January 2014 were selected,and were randomly divided into intramuscular nail group (40 cases) and hip screw group (40 cases).The bleeding volume,postoperative drainage volume,operation time of two groups was compared;visual analogue scale (VAS) after 3 and 6 months was sta-tistically analyzed. Results The operation time of two groups had no significant difference (P>0.05).The bleeding vol-ume,postoperative drainage volume in intramuscular nail group was less than that in hip screw group,the difference was significance (P<0.05).The VAS score after 3 and 6 months of the two groups had no significant difference (P>0.05). Conclusion The efficacy of intramuscular nail in treatment of elderly intertrochanteric and subtrochanteric fractures is better than that of hip screw,the recovery and postoperative complications in two ways has no obvious difference.