中外医疗
中外醫療
중외의료
CHINA FOREIGN MEDICAL TREATMENT
2015年
13期
90-91
,共2页
股骨近端防旋髓内钉%股骨转子下骨折%并发症
股骨近耑防鏇髓內釘%股骨轉子下骨摺%併髮癥
고골근단방선수내정%고골전자하골절%병발증
Proximal femur prevent rotation intramedullary nail%Femoral subtrochanteric fracture%Complications
目的：研究股骨近端防旋髓内钉治疗股骨转子下骨折的临床疗效。方法整群选取该院在2013年6月-2014年6月间收治的78例股骨转子下骨折患者的临床资料，根据数字随机分组法原则，将患者分为两组，每组39例病例。对照组给予动力髋螺钉固定，观察组给予股骨近端防旋髓内钉固定，比较两组患者的骨折愈合时间、髋关节功能恢复情况与并发症发生率。结果①观察组髋关节恢复优良率为87.18%，对照组髋关节恢复优良率为66.67%。观察组恢复优良率更高，对比差异有统计学意义(P<0.05)；②观察组的骨折部位愈合时间明显短于对照组，两组对比差异有统计学意义(P<0.05)；③观察组的股骨颈缩短、髋内翻发生率均低于对照组，对比差异具有统计学意义(P<0.05)。结论通过给予股骨近端防旋髓内钉对股骨转子下骨折患者进行内固定，可以促进骨折部位的愈合，降低并发症发生率，值得临床推广应用。
目的：研究股骨近耑防鏇髓內釘治療股骨轉子下骨摺的臨床療效。方法整群選取該院在2013年6月-2014年6月間收治的78例股骨轉子下骨摺患者的臨床資料，根據數字隨機分組法原則，將患者分為兩組，每組39例病例。對照組給予動力髖螺釘固定，觀察組給予股骨近耑防鏇髓內釘固定，比較兩組患者的骨摺愈閤時間、髖關節功能恢複情況與併髮癥髮生率。結果①觀察組髖關節恢複優良率為87.18%，對照組髖關節恢複優良率為66.67%。觀察組恢複優良率更高，對比差異有統計學意義(P<0.05)；②觀察組的骨摺部位愈閤時間明顯短于對照組，兩組對比差異有統計學意義(P<0.05)；③觀察組的股骨頸縮短、髖內翻髮生率均低于對照組，對比差異具有統計學意義(P<0.05)。結論通過給予股骨近耑防鏇髓內釘對股骨轉子下骨摺患者進行內固定，可以促進骨摺部位的愈閤，降低併髮癥髮生率，值得臨床推廣應用。
목적：연구고골근단방선수내정치료고골전자하골절적림상료효。방법정군선취해원재2013년6월-2014년6월간수치적78례고골전자하골절환자적림상자료，근거수자수궤분조법원칙，장환자분위량조，매조39례병례。대조조급여동력관라정고정，관찰조급여고골근단방선수내정고정，비교량조환자적골절유합시간、관관절공능회복정황여병발증발생솔。결과①관찰조관관절회복우량솔위87.18%，대조조관관절회복우량솔위66.67%。관찰조회복우량솔경고，대비차이유통계학의의(P<0.05)；②관찰조적골절부위유합시간명현단우대조조，량조대비차이유통계학의의(P<0.05)；③관찰조적고골경축단、관내번발생솔균저우대조조，대비차이구유통계학의의(P<0.05)。결론통과급여고골근단방선수내정대고골전자하골절환자진행내고정，가이촉진골절부위적유합，강저병발증발생솔，치득림상추엄응용。
Objective To study the femoral proximal anti rotary intramedullary nailing for femoral subtrochanteric fractures of the clinical curative effect. Methods Select our hospital from June 2013 to June 2014 were of the clinical data of 78 patients with femoral subtrochanteric fractures, according to the principle of digital random grouping, divided the patients into two groups, each group of 39 cases. The control group gives the dynamic hip screw fixation, observation group was given proximal femoral in-tramedullary nail fixation, prevention compared two groups of patients with fracture healing time, hip function recovery and com-plications.Results①To observe group hip recovery was 87.18%, the control of hip recovery was 66.67%. Recovery was higher, the observation group contrast there is statistical significance (P<0.05). ②A fracture healing time of observation group was obviously shorter than the control group, compared the two groups was statistically significant (P<0.05).③Group of the femoral neck short-ened, and the incidence of hip varus were lower than the control group, compared with statistical significance (P<0.05). Conclusion By giving the proximal femoral anti rotary intramedullary nail internal fixation of femoral subtrochanteric fractures patients, can promote the healing of fracture, reduce the incidence of complications, worthy of clinical popularization and application.
