可膨胀髓内钉治疗股骨转子间骨折的临床分析  

Treatment of peritrochanteric fracture by expandable intramedullary nail

作　　者：王纪亮[1] 杨晓红[1] 赵雨千[1] 

机构地区：[1]解放军第253医院骨科,内蒙古呼和浩特010051

出　　处：《局解手术学杂志》2011年第2期166-168,共3页Journal of Regional Anatomy and Operative Surgery

摘　　要：目的研究可膨胀髓内钉治疗股骨转子间骨折的临床效果。方法临床入选符合要求的股骨转子间骨折患者131例,随机分成2组,对照组64例采用传统动力髋螺钉系统治疗,而观察组67例采用可膨胀髓内钉治疗,治疗完成后随访并观察两组患者的临床疗效与并发症情况。结果对照组64例随访7~11个月,平均（8±2.3）个月,观察组67例随访8~10个月,平均（8±2.7）个月。统计分析发现,两组患者在Harri评分优良率、复位满意率方面不具有统计学差异（P〉0.05）,而在手术伤口长度、手术时间、失血量、术后住院时间、严重并发症发生率、骨折愈合时间方面具有统计学差异（P〈0.05）。结论可膨胀髓内钉治疗股骨转子间骨折具有手术创伤小、操作简单、固定坚强、符合力学原理、骨折愈合快等微创手术的特点。Objective To investigate the clinical efficacy of expandable intramedullary nail in the treatment of peritrochanteric fracture.Methods Totally 131 patients with peritrochanteric fracture were enrolled and divided into observation group（n=67） and control group（n=64）.Conventional dynamic hip screw was applied in control group while expandable intramedullary nail was employed in experimental group.The clinical efficacy and complications after the treatment were compared between the two groups.Results The follow-up went for 7～11 month in control group,（8±2.3） month in average and 8～10 month in observation group,（8±2.7） month in average.There was no difference between two groups in the Harri excellent rate and union rate（P〉0.05）.But statistic differences in incision length,operation time,blood loss,hospital duration,occurrence rate of serious complications,recovery time were observed between the two groups（P〈0.05）.Conclusion With the advantage of firm fixation and shorter recovery time,expandable intramedullary nail is minimally invasive and simple in the treatment of peritrochanteric fracture.

关 键 词：股骨转子间骨折 可膨胀髓内钉 传统动力髋螺钉 

分 类 号：R683.42[医药卫生—骨科学]