经皮加压钢板治疗老年股骨转子间骨折的临床疗效观察  

The clinical efficacy of percutaneous compression plate for intertrochanteric fracture

作　　者：鲁保华[1] 

机构地区：[1]沈阳市骨科医院骨盆髋臼科,辽宁沈阳110044

出　　处：《中国医药科学》2015年第6期188-190,共3页China Medicine And Pharmacy

摘　　要：目的探讨经皮加压钢板治疗老年股骨转子间骨折的临床疗效。方法选择患者80例,分为两组,各40例,观察组实施经皮加压钢板内固定,对照组进行动力髋螺钉内固定,比较两组发生的并发症及手术操作时间、术中出血、术中输血比例及输血量。结果观察组发生股骨头切割症状及泌尿、呼吸系统感染的比例显著低于对照组(P<0.05),观察组手术操作时间显著短于对照组(P<0.05),术中出血显著少于对照组(P<0.05),术中输入红细胞量及比例均显著少于对照组(P<0.05)。结论针对老年股骨转子间骨折患者,实施经皮加压钢板内固定相对于动力髋螺钉缩短了手术时间,减少了术中出血,能更好的促进患者康复。Objective To evaluate the clinical efficacy of percutaneous compression plate for intertrochanteric fracture. Methods 80 cases were divided into two groups, each 40 cases,the observation group were implemented percutaneous compression plate fixation,the control group were used dynamic hip screw fixation,then complications and operative time,occurred,blood,the proportion of intraoperative blood transfusion and blood transfusion between the two groups were compared. Results The observation group with urinary symptoms femoral head cut,the proportion of respiratory infections were significantly lower than control group（P 〈 0.05）,the observation group with operative time was significantly shorter than control group（P 〈 0.05）,blood loss was significantly less than control group （P 〈 0.05）,intraoperative red blood cells enter the amount and proportion were significantly less than control group （P 〈 0.05）. Conclusion For patients with intertrochanteric fractures, internal implementation percutaneous compression plate fixation relative to the DHS can short the operation time and reduce blood loss and better promote the rehabilitation.

关 键 词：经皮加压钢板 老年 股骨转子间骨折 

分 类 号：R687.3[医药卫生—骨科学]