CAJ | 학술논문

目的：对不同内固定方法治疗股骨粗隆间骨折的临床疗效进行对比分析。方法选取于2014年3月～2015年2月期间在我院接受治疗的60例股骨粗隆间骨折患者，将患者随机分为A、B、C三组分别给予防旋股骨近端髓内钉内固定、动力髋螺钉内固定以及Gamma钉内固定进行治疗并对临床效果进行对比。结果 A组患者的手术时间以及术后住院时间均短于B组和C组，术中出血量均少于B组和C组，差异有统计学意义（P＜0.05）。结论防旋股骨近端髓内钉内固定对于治疗股骨粗隆间骨折具有十分显著的临床效果，具有手术时间短、术中出血量少以及术后恢复快等诸多优点。
목적：대불동내고정방법치료고골조륭간골절적림상료효진행대비분석。방법선취우2014년3월～2015년2월기간재아원접수치료적60례고골조륭간골절환자，장환자수궤분위A、B、C삼조분별급여방선고골근단수내정내고정、동력관라정내고정이급Gamma정내고정진행치료병대림상효과진행대비。결과 A조환자적수술시간이급술후주원시간균단우B조화C조，술중출혈량균소우B조화C조，차이유통계학의의（P＜0.05）。결론방선고골근단수내정내고정대우치료고골조륭간골절구유십분현저적림상효과，구유수술시간단、술중출혈량소이급술후회복쾌등제다우점。
Objective To Clinical effects of different internal fixation methods in treatment of intertrochanteric fracture are to be comparatively studied.Methods60 patients with intertrochanteric fracture were chosen who are treated in hospital from March 2014 to February 2015 and separate them into group A, B, C at random which are given anti-rotation of proximal femoral and intramedullary nail fixation treatment, internal fixation of dynamic hip screw treatment and internal ifxation of Gamma nail treatment respectively and then make a comparative study on treatment effects of three groups.ResultsPatients’ operation time and their hospitalization days in group A are much shorter than those of patients in both group B and group C, besides, patients’ operation hemorrhage are much less in groupA compared to both group B and group C, there is a treatment differential of these three groups and such a differential has statistic value (P<0.05). ConclusionAnti-rotation of proximal femoral and intramedullary nail ifxation treatment is much more effective in treatment of intertrochanteric fracture, it is conducive to shortening patients’ operation time, reducing their hemorrhage and promoting patients’ recovery, thus, such a treatment method is quite worthwhile to be promoted and applied.