股骨反粗隆间骨折DHS和DCS内固定疗效的回顾性比较  

Retrospective analysis of DHS and DCS internal fixation in treating reverse intertrochanteric fractures of femur

作　　者：刘旭良[1] 李斯明[1] 刘贻运[1] 王兵[1] 陈珑[2] 

机构地区：[1]广州市第十二人民医院外二科,510620 [2]广州医学院2008级免疫学专业,510000

出　　处：《国际医药卫生导报》2009年第15期36-39,共4页International Medicine and Health Guidance News

摘　　要：目的分析比较动力髋螺钉（DHS）与动力髁螺钉（DCS）治疗股骨反粗隆间骨折的临床疗效。方法对本院1999-2008年39例股骨反粗隆间骨折的患者分别进行动力髋螺钉（DHS）和动力髁钉（DCS）内固定。术后根据创伤性髋关节评分标准，对各组患者进行评价。结果按照创伤性髋关节评分标准，总优良率DCS组为95．2％，DHS组为83．3％，经统计学分析后，差异有显著性（P〈0．05）。结论选用DCS治疗股骨反粗隆间骨折临床疗效优于DHS治疗。Objective To compare and to acsess the effectiveness of treatment for reverse intertro- chanteric fractures of femur by dynamiccondylescrew（DCS）and dynamic hip screw（DHS）.Methods 39 patients with reverse intertrochanteric fractures of femur were treated with dynamiccondylescrew（DCS）and dynamic hip screw （DHS）.They were evaluated excellent, good and poor with the Sander＇ evaluation criteria. Results The excellent of DCS was 95.2%, and the excellent rate of DHS was 83.3%, there was a statistically significant difference between the two methods（P〈 0.05）. Conclusion The way of DCS is better than DHS to the reverse intertrochanteric fractures of femur.

关 键 词：反粗隆间骨折 DCS DHS 

分 类 号：R687[医药卫生—骨科学]