医药前沿
醫藥前沿
의약전연
YIAYAO QIANYAN
2015年
7期
28-29,30
,共3页
段泽敏%葛满意%方庆山%王旭东
段澤敏%葛滿意%方慶山%王旭東
단택민%갈만의%방경산%왕욱동
股骨转子间骨折%关节置换%并发症
股骨轉子間骨摺%關節置換%併髮癥
고골전자간골절%관절치환%병발증
The femur Between the rotor fracture%Joint replacement%Complications
目的:探讨人工关节置换治疗高龄股骨转子间骨折的疗效。方法:采用人工股骨头或全髋关节置换治疗29例高龄股骨转子间骨折患者。结果:手术时间平均45min,平均输血400ml。术后3~5天下地21例,7~10天下地5例,10~14天下地3例。按Harris评分标准:优18例,良33例,可11例,优良率达83.2%。结论高龄股骨转子间骨折行髋关节置换,可早期下地行走,减少卧床引起的并发症,可作为治疗转子间骨折的一种选择,但应慎用。
目的:探討人工關節置換治療高齡股骨轉子間骨摺的療效。方法:採用人工股骨頭或全髖關節置換治療29例高齡股骨轉子間骨摺患者。結果:手術時間平均45min,平均輸血400ml。術後3~5天下地21例,7~10天下地5例,10~14天下地3例。按Harris評分標準:優18例,良33例,可11例,優良率達83.2%。結論高齡股骨轉子間骨摺行髖關節置換,可早期下地行走,減少臥床引起的併髮癥,可作為治療轉子間骨摺的一種選擇,但應慎用。
목적:탐토인공관절치환치료고령고골전자간골절적료효。방법:채용인공고골두혹전관관절치환치료29례고령고골전자간골절환자。결과:수술시간평균45min,평균수혈400ml。술후3~5천하지21례,7~10천하지5례,10~14천하지3례。안Harris평분표준:우18례,량33례,가11례,우량솔체83.2%。결론고령고골전자간골절행관관절치환,가조기하지행주,감소와상인기적병발증,가작위치료전자간골절적일충선택,단응신용。
Objective To explore the diagnosis and treatment of artificial joint replacement femoral fracture curative effect between the rotor.Methods Using artificial femoral head and total hip replacement in the treatment of 29 cases of elderly patients with femoral fracture between the rotor.Results: Operation time average 45 min, an average of 400 ml of blood transfusion. 3-5 all 21 cases postoperatively, 7-10 world in 5 cases, 10-14 all 3 cases. According to Harris scoring criteria: 18 cases, 33 cases, 11 cases, was 83. 2%.ConclusionsElderly femoral fracture line between rotor hip replacement, can walk in the early, reduce the complications in bed, the rotor between fractures may be treated as an option, but should be careful.