中国医学创新
中國醫學創新
중국의학창신
MEDICAL INNOVATION OF CHINA
2015年
24期
34-35,36
,共3页
钢丝张力带固定%人工髋关节置换术%高龄骨质疏松%股骨粗隆间骨折
鋼絲張力帶固定%人工髖關節置換術%高齡骨質疏鬆%股骨粗隆間骨摺
강사장력대고정%인공관관절치환술%고령골질소송%고골조륭간골절
Wire tension band fixation%Artificial hip replacement%Elderly osteoporotic%Intertrochanteric fracture
目的：研究分析钢丝张力带固定加人工髋关节置换术在高龄骨质疏松性股骨粗隆间骨折中应用的临床疗效。方法：回顾性分析本院2011-2013年收治的50例高龄骨质疏松性股骨粗隆间骨折患者的病历资料，随机分为对照组和观察组各25例，对照组实施人工髋关节置换术治疗，观察组实施钢丝张力带固定加人工髋关节置换术治疗，对比分析两组患者手术时间、术中出血量、术后并发症及临床疗效情况。结果：观察组手术时间、切口长度、卧床时间均短于对照组，术中出血量和术后引流量少于对照组（P<0.05）。两组术后并发症发生率比较差异有统计学意义（P<0.05）。观察组患者临床疗效优良率为96.0%，高于对照组的76.0%（P<0.05）。结论：高龄骨质疏松性股骨粗隆间骨折应用钢丝张力带固定加人工髋关节置换术治疗，临床疗效较好，有一定的安全性和可行性，值得临床推广应用。
目的：研究分析鋼絲張力帶固定加人工髖關節置換術在高齡骨質疏鬆性股骨粗隆間骨摺中應用的臨床療效。方法：迴顧性分析本院2011-2013年收治的50例高齡骨質疏鬆性股骨粗隆間骨摺患者的病歷資料，隨機分為對照組和觀察組各25例，對照組實施人工髖關節置換術治療，觀察組實施鋼絲張力帶固定加人工髖關節置換術治療，對比分析兩組患者手術時間、術中齣血量、術後併髮癥及臨床療效情況。結果：觀察組手術時間、切口長度、臥床時間均短于對照組，術中齣血量和術後引流量少于對照組（P<0.05）。兩組術後併髮癥髮生率比較差異有統計學意義（P<0.05）。觀察組患者臨床療效優良率為96.0%，高于對照組的76.0%（P<0.05）。結論：高齡骨質疏鬆性股骨粗隆間骨摺應用鋼絲張力帶固定加人工髖關節置換術治療，臨床療效較好，有一定的安全性和可行性，值得臨床推廣應用。
목적：연구분석강사장력대고정가인공관관절치환술재고령골질소송성고골조륭간골절중응용적림상료효。방법：회고성분석본원2011-2013년수치적50례고령골질소송성고골조륭간골절환자적병력자료，수궤분위대조조화관찰조각25례，대조조실시인공관관절치환술치료，관찰조실시강사장력대고정가인공관관절치환술치료，대비분석량조환자수술시간、술중출혈량、술후병발증급림상료효정황。결과：관찰조수술시간、절구장도、와상시간균단우대조조，술중출혈량화술후인류량소우대조조（P<0.05）。량조술후병발증발생솔비교차이유통계학의의（P<0.05）。관찰조환자림상료효우량솔위96.0%，고우대조조적76.0%（P<0.05）。결론：고령골질소송성고골조륭간골절응용강사장력대고정가인공관관절치환술치료，림상료효교호，유일정적안전성화가행성，치득림상추엄응용。
Objective:To study the clinical effect of wire tension band fixation and artificial hip arthroplasty in treatment of elderly osteoporotic intertrochanteric fracture.Method:From 2011 to 2013,50 cases of senile osteoporotic femoral intertrochanteric fracture were retrospectively analyzed in our hospital.They were randomly divided into the control group and the observation group,25 cases in each group. The control group was treated with artificial hip replacement,the observation group was treated with wire tension band fixation and artificial hip replacement.The operation time,intraoperative bleeding volume,postoperative complications and clinical effect of two groups were compared.Result:The operation time,bleeding and complication rate of the observation group were lower than those of the control group(P<0.05).The clinical effect of observation group was 96.0%,which was higher than 76.0%of the control group(P<0.05).Conclusion:With the fixation of artificial hip replacement in the treatment of application of wire tension of senile osteoporotic femoral intertrochanteric fracture,have better clinical efficacy,safety and feasibility,worthy of clinical application.
