摘要
目的比较动力髋螺钉(DHS)与解剖型锁定钢板内固定治疗股骨粗隆间骨折的效果。方法选择股骨粗隆间骨折患者60例,根据手术方法的不同将患者分为观察组和对照组,观察组患者选择DHS方法,对照组应用解剖型锁定钢板,观察两组患者治疗效果,记录并比较两组患者手术切口长度、出血量、引流量、手术时间、住院时间及并发症发生情况。结果观察组患者平均手术切口长度大于对照组,平均术中出血量及术后引流量多于对照组,平均手术时间长于对照组,两组比较差异均有统计学意义(P<0.05)。观察组患者治疗优良率为86.7%(26/30),与对照组的93.3%(28/30)相比,差异无统计学意义(P>0.05)。结论在股骨粗隆间骨折的治疗中,DHS与解剖型锁定钢板内固定法均有较好的疗效,但解剖型锁定钢板内固定法手术切口更小、术中出血量及术后引流量更少、平均手术时间更短。
Objective To compare the efficacy of fixation with DHS （ dynamic hip screw） or anatomic locking plate in treatment of patients with intertrochanteric fractures. Methods Sixty patients with intertrochanteric fractures were chosen, they were divided into 2 groups according to different surgical procedures. Patients in observation group were applied with DHS fixation, while patients in control were treated by anatomic locking plate fixation, their effect of treatment had been observed, and the incision length, blood loss, volume of drainage, operating time, duration of hospitalization and complications in these two groups were compared. Results 1. Compared with patients of observation group, patients in control group were fixed by anatomic locking plate with smaller incision, less blood loss and postoperative drainage, and shorter average operating time （ P 〈 0.05 ） . 2. The excellent rates of treatment in observation group and control group were 86.7 % （26/30） and 93.3 % （28/30） respectively, there was no significantly statistical difference （ P 〉 0.05 ）. Conclusion In treatment of intertrochanteric fractures, fixation with DHS or anatomic locking plate has good effect, but the fixation with anatomic locking plate has smaller incision, less blood loss and postoperative drainage, and shorter average operating time.
出处
《临床和实验医学杂志》
2012年第22期1799-1800,共2页
Journal of Clinical and Experimental Medicine
