不同方法治疗老年性股骨粗隆间骨折疗效分析
粗隆间骨折；,老年人；,内固定；,临床分析,,粗隆间骨折；,老年人；,内固定；,临床分析,摘要,关键词,1资料与方法,2结果,3讨论,参考文献
摘要：目的：探讨老年性股骨粗隆间骨折3种内固定治疗方法的适应证和效果。方法：选择1998年1月～2005年6月老年性股骨粗隆间骨折246例，根据不同类型不同治疗方法分为3组，空心钉组(CLS组)24例，动力型加压髋螺钉组(DHS组)173例，动力型加压髁钉螺(DCS组)49例。比较3组手术时间、出血量、骨折愈合时间及并发症发生情况。结果：术后随访1~84个月，平均37个月。空心钉组手术创伤小，手术时间及术中出血量、术后并发症均明显少于DHS和DCS组(P<0.05)，DHS和DCS组比较差异无统计学意义。结论：3种手术方法各有优缺点，应根据不同的适应证，准确预测老年髋部骨折的手术风险，合理地进行手术决策。关键词：粗隆间骨折； 老年人； 内固定； 临床分析
A compararison of the clinical effect of the three methads for the treatment of
hip intertrochanteric fracture in elderly patients
YANG Guangzhang, YANG Qinbuo, DEN Qiang
(Department of Orthopedics, First Affiliated Hospital, Xinjiang Medical University,Urumqi 830054, China)
Abstract: Objective: To compare and investigate the clinical effects of three internal fixation treating methods on the treatment of intertrochanteric fracture in elderly patients. Methods: 246 elderly patients with intertrochanteric fracture were separated into three groups and treated from January 1998 to June 2005 according to different treating methods. One group having 24 patients was treated with CLS; the second group having 123 patients was treated with DHS and the third group having 49 patients was treated using DCS. The operation time, blood loss, bone fracture healing time and operation complications were compared between three groups. Results: After operation, the patients were followed up from 1 month to 84 months with 37 months on the average. We found that there were significantly less injury, short operation time, less blood loss and post-operation complications in group CLS compared to that in DHS and DCS groups (P<0.05). On the other hand, the difference between DHS and DCS is not statistically significant. Conclusion: Three operation methods each have their own advantages and disadvantages. It can be used to predict the risk for the operation of the elderly hip fracture patients accurately. Therefore, the rational decision can be made for the operation. ......
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