老年转子间骨折临床手术方式对比研究  

Comparative study on the clinical operation modes for intertrochanteric fractures in elderly patients

作　　者：刘智伟[1] 连勇[1] Liu Zhiwei;Lian Yong(The Fifth Department of Orthopedics,the First Central Hospital of Baoding City(Hebei Province),071000)

机构地区：[1]保定市第一中心医院骨五科(河北),071000

出　　处：《中国社区医师》2017年第6期12-13,共2页Chinese Community Doctors

摘　　要：目的:探讨老年转子间骨折的手术方式。方法:收治老年转子间骨折患者150例,随机分为3组,Ⅰ组采用动力髋螺钉(DHS)内固定治疗,Ⅱ组采用股骨近端髓内钉(PFN)内固定治疗,Ⅲ组采用人工髋关节置换术治疗,比较3组治疗效果。结果:Ⅲ组患者的手术时间、住院时间及愈合时间明显短于Ⅰ组和Ⅱ组,术中出血量明显少于Ⅰ组和Ⅱ组(P<0.05)。Ⅲ组患者术后Harris评分明显高于Ⅰ组和Ⅱ组(P<0.05)。结论:对老年转子间骨折患者行人工髋关节置换术能提高治疗效果,改善患者预后。Objective:To explore the clinical operation modes for intertrochanteric fractures in elderly patients.Methods:150elderly patients with intertrochanteric fracture were selected.They were randomly divided into3groups.TheⅠgroup was treatedwith dynamic hip screw(DHS)fixation.TheⅡgroup was treated by proximal femoral nail(PFN)internal fixation.TheⅢgroup wastreated by artificial hip replacement.We compared the treatment effect of3groups.Results:In theⅢgroup,the operation time,hospitalization time and healing time were significantly shorter than theⅠgroup and theⅡgroup,and the amount of bleedingwas significantly less than theⅠgroup and theⅡgroup(P<0.05).In theⅢgroup,the postoperative Harris score wassignificantly higher than theⅠgroup and theⅡgroup(P<0.05).Conclusion:The application of artificial hip replacement inelderly patients with intertrochanteric fracture can improve the therapeutic effect and improve the prognosis of patients.

关 键 词：老年 转子间骨折 手术方式 

分 类 号：R687.3[医药卫生—骨科学]