转子间骨折髋关节置换中两种骨折固定方式联合中医治疗的临床对比研究  

Clinical comparative study of two fracture fixation plus TCM in treating intertrochanteric fractures of the hip replacement

作　　者：邓文毅[1] 朱丽萍[2] 

机构地区：[1]江西省丰城市中医院,江西丰城331100 [2]江西省丰城市人民医院,江西丰城331100

出　　处：《中医临床研究》2012年第10期16-17,共2页Clinical Journal Of Chinese Medicine

摘　　要：目的:探讨骨折固定方式在转子间骨折髋关节置换中的临床方法及疗效。方法:将我院于2009年8月～2011年12月收治符合标准的转子间骨折行髋关节置换患者75例分成两组,其中实验组40例行股骨近端抗旋髓内钉术(PFNA),对照组35例行股骨近端髓内钉(PFN),两组均联合中医治疗。随访3～4个月,对比临床疗效(总有效率)和中医症征积分表(SSTCM)。结果:治疗后相比,实验组、对照组患者的总有效率分别为97.5%和85.7%(P<0.05),且SSTCM亦优于对照组(P<0.05)。结论:对于转子间骨折髋关节置换患者行股骨近端抗旋髓内钉术联合中医治疗疗效显著,并发症少,是一种安全有效的治疗方式。Objective： To investigate the clinical effects of fracture fixation in intertrochanteric fractures of the hip replacement.Methods： 75 cases were divided the experimental group（40 cases） and the control group（35 cases）,the experimental group was given PFNA,and the control group was given PFN,both groups were combined TCM treatment.Followed up for 3～4 months,compared to the total effective rate and SSTCM.Results： After treatment,the total effective rate of the experimental group（97.5%） was significantly higher than that of the control group（85.7%）（P〈0.05）,and SSTCM also better than that of the control group（P〈0.05）.Conclusion： The fracture fixation plus TCM is a safe and effective in treating intertrochanteric fractures of the hip replacement.

关 键 词：转子间骨折 髋关节置换 股骨近端抗旋髓内钉术 

分 类 号：R323.45[医药卫生—人体解剖和组织胚胎学]