仰卧位与侧卧位股骨重建钉治疗股骨转子间骨折的临床效果观察  

Clinical Observation of the Treatment of Intertrochanteric Fractures of the Femur with Supine and Lateral Reposition of Femoral Reconstruction

作　　者：郑根存 谢晨学 谢金辉 李林 王增宽 Gencun Zheng;Chenxue Xie;Jinhui Xie;Lin Li;Zengkuan Wang(Cang Xian Hospital, Cangzhou, Hebei, 061000, China;Cangzhou People’s Hospital, Cangzhou, Hebei, 061000, China)

机构地区：[1]沧县医院,河北沧州061000 [2]沧州市人民医院,河北沧州061000

出　　处：《亚洲临床医学杂志》2019年第1期19-21,共3页Asian Journal of Clinical Medicine

摘　　要：目的:评价仰卧体位与侧卧体位股骨重建钉治疗股骨转子间骨折的疗效。方法:回顾性分析我院收治的重建钉内固定治疗且体质量超过25kg/m^2的78例股骨转子间骨折患者,按照手术体位不同分为两组:甲组(侧卧体位)43例,乙组(仰卧体位)35例,比较不同体位手术实施效果。结果:观察组手术时间、术中出血量、并发症发生率少于乙组(P<0.05),但两组的临床疗效良好率对比无差异无统计学意义(P>0.05)。结论:股骨转子间骨折合并肥胖患者取侧卧体位下股骨重建钉治疗,可减轻手术难度,缩短手术时间,提高手术实施安全性,值得应用推广。Objective:Evaluate the ef..cacy of supine and lateral reposition of femoral reconstruction nails in the treatment of intertrochanteric fractures of the femur.Methods:A retrospective analysis of 78 patients with femoral intertrochanteric fractures treated with reconstructive internal fixation and weighing more than 25kg/m^2 was divided into two groups according to the position of the operation:There were 43 cases in group A(lateral position)and 35 cases in group B(supine position),which was more effective in different position.Results:The operation time,intraoperative blood loss,and complication rate were lower in the observation group than in the B group(P<0.05),but there was no significant difference in the clinical efficacy between the two groups(P>0.05).Conclusion:Femoral intertrochanteric fracture combined with obesity patients with lateral recumbent femoral reconstruction nail treatment can reduce the difficulty of surgery,shorten the operation time and improve the safety of operation,which is worthy of application and promotion.

关 键 词：仰卧位 侧卧位 股骨重建钉 股骨转子间骨折 

分 类 号：R683.42[医药卫生—骨科学]