摘要
提要为比较动力髁螺钉(DynamicCondylarScrewDCS)及动力髋螺钉(DynamicHipScrewDHS)治疗不稳定型股骨转子间骨折的临床疗效,将符合诊断及纳入标准的60例患者,用随机数字表法将其分为两组,每组各30例,一组采用动力髁螺钉(DCS组)手术内固定治疗,另一组采用动力髋螺钉(DHS组)手术治疗,对两组患者的一般资料、手术资料及术后功能恢复情况进行评估比较。结果两组在手术时间、术中出血量、切口长度、术后离床时间及术后颈干角方面差异无统计学意义(P>0.05),术后1年Harris髋关节功能评分:DCS组为85.93±8.33分,DHS组为76.83±16.35分,两者比较差异非常显著(P<0.01);术后并发症统计:DCS组发生髋内翻1例,DHS组例发生髋内翻6例,内固定失效3例,两组比较存在非常显著性差异(P<0.01)。认为不稳定型股骨转子间骨折选用DCS与DHS内固定在临床操作方面具有相似的手术侵袭性,但DCS内固定术后功能恢复好、并发症少。
In order to compare the therapeutic effect of Dynamic Condylar Screw (DCS) and Dynamic Hip Screw (DHS) for treating in-tertrochanteric fracture (ICF) , 60 cases of ICF were divided into two groups averagely: Group A treated by DCS and Group B treated by DHS, respectively , the information about patients and operative data and the post - operative function of the two groups were observed and compared. The results showed that the information about patients and operative data in two groups had no significant(p > 0.05) , the post - operative Harris scores were 85.93 ± 8.33, 76.83 ± 16.35, respectively with a significant difference in the comparison of the comparison of the two groups (p < 0.01), and there 1 case with coxa vara in DCS while 6 cases in DHS including 3 disable fixed cases, suggesting that DCS functions to prevent the complicating coxa vara after operation and get better hip function, being worth popularizing in the clinical application,
出处
《中医正骨》
2007年第1期5-6,共2页
The Journal of Traditional Chinese Orthopedics and Traumatology
