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不同固定方式在高龄股骨粗隆间骨折患者中的应用对比 被引量:2

Application of different types of fixation for intertrochanteric fractures in olderly patients
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摘要 目的探讨DHS和髋关节置换治疗高龄股骨粗隆间骨折的临床效果。方法选取我院治疗24例高龄股骨粗隆间骨折病例,分成两组,一组予DHS,一组予以髋关节置换,比较两组治疗后的临床效果。结果DHS组在手术时间和输血量较髋关节置换组明显高,两组比较有明显差异性,P〈0.05。但是两组在负重时间、平均住院时间、Harris评分和并发症上无明显差异性,P〉O.05,无可比性。结论DHS和髋关节置换功能恢复相同,但是DHS比髋关节置换术后风险胜大。 Objective To explore the clinical efficacy of DHS and hip replacement in the treatment of intertrochanteric fractures. Methods 24 elderly patients with intertrochanteric fractures were divided into two groups. One group received DHS, and the other group received hip replacement. The efficacy was compared between the two groups after treatment. Results Surgical duration was markedly longer and volume of transfusion was obviously greater in DHS group than in hip replacement group, with a significant difference (P〈0.05). There were no significances between the two groups in loading duratin, mean length of hospital stay, Harris scores, and complications (P〉0.05). Conclusions The patients undergoing DHS have the same functional recovery as those receiving hip replacement. DHS has a bigger risk than hip replacement after surzical treatment.
作者 黄斌
出处 《国际医药卫生导报》 2013年第5期679-681,共3页 International Medicine and Health Guidance News
关键词 髋关节置换 DHS 股骨粗隆间骨折 Hip replacement DHS Intertrochanteric fractures
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