| 王久清 黄昌林 杨雪迎 杜云飞 翟艺宗.不同治疗方式在老年股骨粗隆间骨折中的对照分析[J].,2015,15(2):287-290 |
| 不同治疗方式在老年股骨粗隆间骨折中的对照分析 |
| A Comparison of Different Methods in Treatment of FemoralIntertrochanteric Fractures in Elderly Patients |
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| DOI： |
| 中文关键词: 老年股骨粗隆间骨折 保守治疗 手术方式 疗效 并发症 |
| 英文关键词: Senile femoral intertrochanteric fractures Non-surgical treatment Surgical methods Clinical outcomes Complications |
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| 中文摘要: |
| 目的： 比较分析不同 治疗方式对老年股骨粗隆间骨折的治疗效果。 方法： 回顾性分析 152 例 老年股骨粗隆间骨折患者的临床
资料， 保守治疗 组 24 例 ； 手术治疗 组 1 28 例， 其中人工股骨头置换 23 例 、外固 定架 23 例 、髓内固 定 28 例 (包括股骨近端髓内 钉
(proximal femoral nail， PFN )、Gamma 钉等)、动力 髋螺钉(dynamic hip screw， DHS)26 例 、股骨近端锁定钢板（ the locking compress
plate， LCP）28 例。 对各种治疗方式的相关指标进行比较分析。 结果： 手术治疗组患者卧床时间和并发症发生率均显著优于保守治
疗 组（ t=8.045， 7.583,8.673,8.023， 8.672， X2=9.1 24,4.809, 6.603, 4.276,1 4.444, P<0.05）；各手术组之间比较： 各组卧床时间 无显著差
异（ F=0.241， P>0.05），外固定架组和 LCP 组手术时间、切口 长度、出血量及术后引 流量均显著优于其余各组（ P<0.05）； 保守组术后
Harries 评分低于手术组。 结论： 手术治疗老年股骨粗隆间骨折可获得满意疗效， 且并发症较少；外固定架创伤较小， LCP 和人工股
骨头置换术后疗效较好，其中 LCP 可作为优先考虑方案。 |
| 英文摘要: |
| Objective:To investigate the clinical efficacy of different methods in treating femoral intertrochanteric fracture of aged
patients.Methods:A retrospective study of 196 patients with femoral intertrochanteric fractures was made. They were treated with
non-surgical (24 cases), artificial femoral head(23 cases), external fixator(23 cases), Proximal femoral nai1 (PFN) or Gamma(28 cases),
Dynamic hip screw (DHS, 26 cases), and locking com press plat (LCP, 28 cases). The relevant indicators between different treatment
modalities were compared.Results:There were significant difference between surgical and non-surgical groups in out-of-bed time and
complications (t=8.045, 7.583, 8.673, 8.023, 8.672, X2=9.124, 4.809, 6.603, 4.276, 1 4.444, P<0.05); The out-of-bed time between the
surgical groups had no significant difference (F=0.241 , P>0.05); There were significant difference in external fixator and LCP with other
groups in operation time, the incision length, blood loss and drainage (P<0.05); Non-surgical group's Harries score is lower than that in
the surgery group.Conclusion:Surgical treatment had some superiority with femoral intertrochanteric fractures; External fixator had less
trauma, LCP and artificial femoral head had better clinical outcomes, LCP can be considered as a priority program. |
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