中国社区医师
中國社區醫師
중국사구의사
Chinese Community Doctors
2015年
13期
49-50
,共2页
刘敏强%谢敏%毛吉刚%何大川%徐晓杰
劉敏彊%謝敏%毛吉剛%何大川%徐曉傑
류민강%사민%모길강%하대천%서효걸
髓内固定%人工股骨头置换%老年%股骨转子间骨折
髓內固定%人工股骨頭置換%老年%股骨轉子間骨摺
수내고정%인공고골두치환%노년%고골전자간골절
Intramedullary fixation%Artificial femoral head replacement%The elderly%Femoral intertrochanteric fracture
目的:探讨髓内固定与人工股骨头置换治疗老年股骨转子间骨折的疗效。方法:2009年1月-2012年12月收治老年股骨转子间骨折患者146例。按手术方法分为髓内固定组69例,人工股骨头置换组77例。比较两组患者术中、术后并发症、恢复情况。结果:两组疗效均满意;髓内固定组切口长度、手术时间、术中出血量情况均优于人工股骨头置换组;人工股骨头置换组住院时间、术后髋关节功能评分、并发症发生率均优于髓内固定组。结论:两种手术方法均可以有效地治疗老年股骨转子间骨折。对于患者身体状况较好、骨质稳定者,可首选髓内固定;对于患有严重骨质疏松的老年患者,可以首选人工关节置换术。
目的:探討髓內固定與人工股骨頭置換治療老年股骨轉子間骨摺的療效。方法:2009年1月-2012年12月收治老年股骨轉子間骨摺患者146例。按手術方法分為髓內固定組69例,人工股骨頭置換組77例。比較兩組患者術中、術後併髮癥、恢複情況。結果:兩組療效均滿意;髓內固定組切口長度、手術時間、術中齣血量情況均優于人工股骨頭置換組;人工股骨頭置換組住院時間、術後髖關節功能評分、併髮癥髮生率均優于髓內固定組。結論:兩種手術方法均可以有效地治療老年股骨轉子間骨摺。對于患者身體狀況較好、骨質穩定者,可首選髓內固定;對于患有嚴重骨質疏鬆的老年患者,可以首選人工關節置換術。
목적:탐토수내고정여인공고골두치환치료노년고골전자간골절적료효。방법:2009년1월-2012년12월수치노년고골전자간골절환자146례。안수술방법분위수내고정조69례,인공고골두치환조77례。비교량조환자술중、술후병발증、회복정황。결과:량조료효균만의;수내고정조절구장도、수술시간、술중출혈량정황균우우인공고골두치환조;인공고골두치환조주원시간、술후관관절공능평분、병발증발생솔균우우수내고정조。결론:량충수술방법균가이유효지치료노년고골전자간골절。대우환자신체상황교호、골질은정자,가수선수내고정;대우환유엄중골질소송적노년환자,가이수선인공관절치환술。
Objective:To investigate the curative effect analysis of artificial femoral head replacement and anti rotation intramedullary fixation in treatment of intertrochanteric fracture of femur in the elderly.Methods: 146 elderly patients with femoral intertrochanteric fractures were selected from January 2009 to December 2012.The were divided into the intramedullary fixation group of 69 patients and the artificial femoral head replacement group with 77 patients according to the operation method.We compared the intraoperative,postoperative complications,restoration of the two groups patients.Results:The effect of the two groups were satisfied;the length of incision,operation time,the amount of intraoperative bleeding of the intramedullary fixation group were better than those of the artificial femoral head replacement group;the hospitalization time,hip function score,the rate of complications of the artificial femoral head replacement group were better than those of the intramedullary fixation group. Conclusion:Two kinds of operation methods can be treated the fracture of femur in the elderly effectively.For patients with good physical condition,bone is stable.We can choose a preferred intramedullary fixation;for elderly patients with severe osteoporosis, and we can choose artificial joint replacement first.