摘要
目的:分析老年人股骨粗隆间骨折的治疗情况,评价不同治疗方法的疗效。方法:回顾性分析169例股骨粗隆间骨折患者的临床资料,其中41例采用保守治疗,128例患者采用三枚螺丝钉固定、DHS和人工关节置换手术治疗。结果:手术治疗组中三枚钉组出血量最少,关节置换组下地时间最早;保守治疗组、三枚钉组、DHS组和关节置换组优良率分别为:74%、90%、94%和98%。结论:手术治疗股骨粗隆间骨折可早期进行关节活动及负重,减少卧床时间,功能恢复快,明显提高患者生活质量。
Objective：To elect treatment method and analyze curative effect of elderly patients with intertrochanteric fracture of femur. Methods： The clinical data of 169 elderly patients with intertroehanteric fracture of femur were analyzed retrospectively.41 cases adopted conservative treatment and 128 cases had taken operative therapy which included three screws,dynamic hip screw （DHS）,proximal femoral nail（PFN） and joint prosthesis replacement. Results： The three screws group had a less amount of bleeding,joint prosthesis replacement had a faster getting out of bedtime. The excellent and good rate of hip joint function of conservative treatment, three screws, DHS, PFN and joint prosthesis replacement groups was 74% ,90% ,94% and 98% respectively. Conclusions： Operation therapy can have a bearing and joint motion early ,decrease lie in bed time and recover joint function quickly and improve obviously quality of patient life.
出处
《岭南急诊医学杂志》
2010年第3期195-196,219,共3页
Lingnan Journal of Emergency Medicine
关键词
老年人
股骨粗隆间骨折
人工关节置换
elderly people
intertrochanter fracture of femur
joint prosthesis replacement
