用防旋股骨近端髓内钉内固定术对老年股骨转子间骨折患者进行治疗的效果探究
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摘要
目的:探究用防旋股骨近端髓内钉内固定术对老年股骨转子间骨折患者进行治疗的效果。方法:选取2017年5月至2018年5月四川省邻水县丰禾中心卫生院收治的80例老年股骨转子间骨折患者作为研究对象。应用信封法将其随机分为对照组和研究组。为对照组患者与研究组患者分别采用动力髋螺钉(DHS)内固定术、防旋股骨近端髓内钉(PFNA)内固定术进行治疗。然后比较两组患者的各项手术指标及术后并发症的发生率中。的出结血果量:少研于究对组照患组者患术者后,髋其关术节后功并能发的症评的分发高生于率对低照于组对患照者组,患其者骨,折P愈<合0的.时05间。、结手论术:的用时防间旋、股术骨毕近至端下髓床内活钉动内的固时定间术均对短老于年对股照骨组转患子者间,骨其折术患者进行治疗的效果较好,且安全性较高。
Objective: To investigate the effect of antirotation proximal femoral intramedullary nail internal fixation on the treatment of elderly patients with intertrochanteric fractures. Methods: 80 elderly patients with intertrochanteric fractures admitted to the health center of fenghe center, linshui county, sichuan province from May 2017 to May 2018 were selected as research objects. They were randomly divided into control group and research group by envelope method. The patients in the control group and the study group were treated with dynamic hip screw internal fixation and anti-rotation proximal femur intramedullary nail internal fixation respectively.Then the surgical indexes and the incidence of postoperative complications were compared between the two groups. Results: the postoperative hip function score of the study group was higher than that of the control group, the fracture healing time, the operation time, and the time from the operation to the bed activity were shorter than that of the control group, the intraoperative blood loss was less than that of the control group, and the incidence of postoperative complications was lower than that of the control group(P < 0.05). Conclusion: antirotation proximal femoral intramedullary nail internal fixation is effective and safe in the treatment of elderly patients with intertrochanteric fractures.
Objective: To investigate the effect of antirotation proximal femoral intramedullary nail internal fixation on the treatment of elderly patients with intertrochanteric fractures. Methods: 80 elderly patients with intertrochanteric fractures admitted to the health center of fenghe center, linshui county, sichuan province from May 2017 to May 2018 were selected as research objects. They were randomly divided into control group and research group by envelope method. The patients in the control group and the study group were treated with dynamic hip screw internal fixation and anti-rotation proximal femur intramedullary nail internal fixation respectively.Then the surgical indexes and the incidence of postoperative complications were compared between the two groups. Results: the postoperative hip function score of the study group was higher than that of the control group, the fracture healing time, the operation time, and the time from the operation to the bed activity were shorter than that of the control group, the intraoperative blood loss was less than that of the control group, and the incidence of postoperative complications was lower than that of the control group(P < 0.05). Conclusion: antirotation proximal femoral intramedullary nail internal fixation is effective and safe in the treatment of elderly patients with intertrochanteric fractures.
引文
[1]石威峰.股骨近端防旋髓内钉内固定配合中药治疗股骨转子间骨折疗效观察[J].实用中医药杂志,2018(10):1163-1164.
[2]李志强.股骨近端抗旋髓内钉微创内固定术治疗老年股骨转子间骨折56例临床分析[J].河南外科学杂志,2018,24(4):118-119.
[3]钟传礼,周维,周锋,等.防旋型股骨近端髓内钉与人工股骨头置换治疗老年不稳定型股骨转子间骨折疗效对比研究[J].创伤外科杂志,2018,20(9):686-689.
[4]余定华,李科.防旋股骨近端髓内钉治疗股骨转子间骨折效果研究[J].现代医药卫生,2018,34(16):2548-2550.
[5]秦荣毫.股骨近端防旋髓内钉治疗老年股骨转子间骨折效果观察[J].河南外科学杂志,2018,24(5):135-136.
[2]李志强.股骨近端抗旋髓内钉微创内固定术治疗老年股骨转子间骨折56例临床分析[J].河南外科学杂志,2018,24(4):118-119.
[3]钟传礼,周维,周锋,等.防旋型股骨近端髓内钉与人工股骨头置换治疗老年不稳定型股骨转子间骨折疗效对比研究[J].创伤外科杂志,2018,20(9):686-689.
[4]余定华,李科.防旋股骨近端髓内钉治疗股骨转子间骨折效果研究[J].现代医药卫生,2018,34(16):2548-2550.
[5]秦荣毫.股骨近端防旋髓内钉治疗老年股骨转子间骨折效果观察[J].河南外科学杂志,2018,24(5):135-136.