摘要
目的分析骨质疏松性骨折治疗失败的原因,提出有效方法,降低该类患者的病残率。方法总结自2001年5月～2007年4月298例原发性骨质疏松并发不同类骨折的患者,应用不同方式进行处理。男性131例,女性167例。手术内固定治疗203例,非手术治疗95例,对近2年的患者进行系统的抗骨质疏松药物治疗。结果患者获1～16个月随访,平均11个月。内固定组失效20例,占手术例数的9.8。非手术治疗组3个月内死亡6例,占6.4,为髋部骨折5例和脊柱骨折1例。结论对于骨质疏松性骨折,单纯依靠某种单一的治疗手段难以达到预期效果。应综合注意骨骼的密度、内固定材料性能、体重、肌肉力量等诸多因素,并应辅以抗骨质疏松药物应用。
Objective To discuss the therapeutic selection and the analysis of the reason for the failure of the internal fixation of osteoporotic fractures for reducing the disability rate. Methods From May 2001 to April 2007, different therapeutic methods for 298 fracture patients with. primary osteoporosis were analyzed and summarized. There were 131 male and 167 female with a mean age of 72 years old （range, 56 to 96 yeas old）. The 203 patients were managed with surgical procedures while the conservative treatments were applied in 95 patients. All patients performed periodic training of muscles and joints under orthopedist＇s instruction. The patients treated in recent two years received systematic therapy with anti - osteoporosis drugs. Results All patients were followed up for an average of 11 months （range, 1 to 16 months）. There were 20 patients with internal fixation failure, accounting for 9.8 % of all operation patients. In the conservative group, 6 patients （6.7 % ） died in 3 months, including 5 patients with hip fracture and 1 with spine fracture. Conclusion The treatment of osteoporotic fractures is different from conventional therapy of fractures, while senile osteoporosis is becoming more and more wide. Expected therapeutic effects will not be achieved by simple internal fixation or certain single therapy method. Besides patient＇s bone density, material- property, body weight and muscle strength and so on, should be considered in the therapy, and anti- osteoporosis drugs should be used.
出处
《中国骨与关节损伤杂志》
2008年第9期717-719,共3页
Chinese Journal of Bone and Joint Injury
关键词
骨质疏松
骨折
治疗
选择
Osteoporosis
Fractures
Therapy
Selection
