CAJ | 학술논문

目的：探讨老年股骨粗隆间骨折应用微创小切口锁定加压接骨板内固定术的优势。方法：选取2013年1月-2014年9月本院收治的45例老年股骨粗隆间骨折患者，依据治疗方法将患者分为研究组（n=25）和对照组（n=20）。给予对照组患者传统手术治疗，给予研究组患者微创小切口锁定加压接骨板内固定术治疗。比较两组患者的治疗效果。结果：研究组患者总有效率为96.0%（24/25）显著高于对照组的70.0%（14/20）（P<0.05），手术时间、住院时间及骨折愈合时间均短于对照组（P<0.05），术中出血量显著少于对照组（P<0.05），术后并发症发生率为16.0%（4/25）低于对照组的45.0%（9/20）（P<0.05）。结论：老年股骨粗隆间骨折应用微创小切口锁定加压接骨板内固定术效果显著。
목적：탐토노년고골조륭간골절응용미창소절구쇄정가압접골판내고정술적우세。방법：선취2013년1월-2014년9월본원수치적45례노년고골조륭간골절환자，의거치료방법장환자분위연구조（n=25）화대조조（n=20）。급여대조조환자전통수술치료，급여연구조환자미창소절구쇄정가압접골판내고정술치료。비교량조환자적치료효과。결과：연구조환자총유효솔위96.0%（24/25）현저고우대조조적70.0%（14/20）（P<0.05），수술시간、주원시간급골절유합시간균단우대조조（P<0.05），술중출혈량현저소우대조조（P<0.05），술후병발증발생솔위16.0%（4/25）저우대조조적45.0%（9/20）（P<0.05）。결론：노년고골조륭간골절응용미창소절구쇄정가압접골판내고정술효과현저。
Objective:To investigate the advantages of minimally invasive locking compression plate fixation in the treatment of elderly intertrochanteric fracture.Method:45 elderly patients with intertrochanteric fractures who were treated in our hospital from January 2013 to September 2014 were selected, they were divided into study group (n=25) and control group (n=20), according to the treatment methods.The control group were given traditional surgical treatment, while the study group were given minimally invasive locking compression plate fixation treatment.Result:The total efficiency of the study group 96.0% (24/25) was significantly higher than the control group 70.0% (14/20) (P<0.05), the operative time, hospital stay, and fracture healing time were significantly shorter(P<0.05), the blood loss was significantly less(P<0.05), the postoperative complication rate 16.0% (4/25) was significantly lower than the control group 45.0% (9/20) (P<0.05). Conclusion:The effect of minimally invasive locking compression plate fixation is remarkable in the treatment of elderly intertrochanteric fracture.