中国医药导报
中國醫藥導報
중국의약도보
China Medical Herald
2015年
30期
90-93
,共4页
股骨近端抗旋髓内钉%锁定钢板%股骨粗隆间骨折
股骨近耑抗鏇髓內釘%鎖定鋼闆%股骨粗隆間骨摺
고골근단항선수내정%쇄정강판%고골조륭간골절
Proximal femoral nail antirotation%Locking plate%Femoral intertrochanteric fracture
目的：探讨股骨近端抗旋髓内钉与锁定钢板治疗股骨粗隆间骨折的效果。方法选取陕西省榆林市第一医院骨外科2012年1月~2015年2月收治的80例股骨粗隆间骨折患者，依据治疗方式不同进行分组，髓内钉组40例和锁定钢板组40例。观察两组手术时间、术中出血量、下地行走时间、骨折愈合时间、临床疗效、术后并发症发生情况。结果髓内钉组手术时间[(60.0±4.1)min]、下地行走时间[(14.2±2.5)d]、骨折愈合时间[(10.4±1.0)周]均短于锁定钢板组[(65.7±5.2)min、(28.4±5.0)d、(12.7±1.3)周]，术中出血量[(154.4±14.6)mL]少于锁定钢板组[(171.8±15.4)mL]，差异有统计学意义(P<0.05)。髓内钉组优良率(100.0%)高于锁定钢板组(80.0%)，差异有统计学意义(P<0.05)。髓内钉组术后并发症发生率(0%)低于锁定钢板组(20%)，差异有统计学意义(P<0.05)。结论股骨近端抗旋髓内钉治疗股骨粗隆间骨折患者创伤小，恢复快，预后水平良好，值得临床推广应用。
目的：探討股骨近耑抗鏇髓內釘與鎖定鋼闆治療股骨粗隆間骨摺的效果。方法選取陝西省榆林市第一醫院骨外科2012年1月~2015年2月收治的80例股骨粗隆間骨摺患者，依據治療方式不同進行分組，髓內釘組40例和鎖定鋼闆組40例。觀察兩組手術時間、術中齣血量、下地行走時間、骨摺愈閤時間、臨床療效、術後併髮癥髮生情況。結果髓內釘組手術時間[(60.0±4.1)min]、下地行走時間[(14.2±2.5)d]、骨摺愈閤時間[(10.4±1.0)週]均短于鎖定鋼闆組[(65.7±5.2)min、(28.4±5.0)d、(12.7±1.3)週]，術中齣血量[(154.4±14.6)mL]少于鎖定鋼闆組[(171.8±15.4)mL]，差異有統計學意義(P<0.05)。髓內釘組優良率(100.0%)高于鎖定鋼闆組(80.0%)，差異有統計學意義(P<0.05)。髓內釘組術後併髮癥髮生率(0%)低于鎖定鋼闆組(20%)，差異有統計學意義(P<0.05)。結論股骨近耑抗鏇髓內釘治療股骨粗隆間骨摺患者創傷小，恢複快，預後水平良好，值得臨床推廣應用。
목적：탐토고골근단항선수내정여쇄정강판치료고골조륭간골절적효과。방법선취합서성유림시제일의원골외과2012년1월~2015년2월수치적80례고골조륭간골절환자，의거치료방식불동진행분조，수내정조40례화쇄정강판조40례。관찰량조수술시간、술중출혈량、하지행주시간、골절유합시간、림상료효、술후병발증발생정황。결과수내정조수술시간[(60.0±4.1)min]、하지행주시간[(14.2±2.5)d]、골절유합시간[(10.4±1.0)주]균단우쇄정강판조[(65.7±5.2)min、(28.4±5.0)d、(12.7±1.3)주]，술중출혈량[(154.4±14.6)mL]소우쇄정강판조[(171.8±15.4)mL]，차이유통계학의의(P<0.05)。수내정조우량솔(100.0%)고우쇄정강판조(80.0%)，차이유통계학의의(P<0.05)。수내정조술후병발증발생솔(0%)저우쇄정강판조(20%)，차이유통계학의의(P<0.05)。결론고골근단항선수내정치료고골조륭간골절환자창상소，회복쾌，예후수평량호，치득림상추엄응용。
Objective To explore effect of proximal femoral nail antirotation and locking plate in the treatment of femoral intertrochanteric fracture. Methods 80 patients with femoral intertrochanteric fracture in Orthopeadic Surgery Department, the First Hospital of Yulin City in Shaanxi Province from January 2012 to February 2015 were selected, they were divided into two groups by different treatment methods, intramedullary nail group was 40 cases, locking plate group was 40 cases. Operation time, intraoperative blood loss, walk time, fracture healing time, clinical effect, postoperative complication between two groups were observed. Results Operation time[(60.0±4.1)min], walk time [(14.2±2.5)d], fracture healing time[(10.4±1.0)weeks] of intramedullary nail group were shorter than those of locking plate group[(65.7±5.2)min, (28.4±5.0)d, (12.7±1.3)weeks], intraoperative blood loss[(154.4±14.6)mL] of intramedullary nail group was less than that of locking plate group[(171.8±15.4)mL], with statistical differences (P<0.05). Excellent and good rate of intramedullary nail group (100.0%) was higher than that of locking plate group (80.0%), with statistical difference (P<0.05). Incidence rate of postoperative complication in intramedullary nail group (0%) was lower than that in locking plate group (20%), the difference was statistical significance (P< 0.05). Conclusion Proximal femoral nail antirotation in the treatment of patients with femoral intertrochanteric fracture with small trauma, quick recovery, good prognosis. It is worthy of clinical popularization and application.
