摘要
目的对髓内与髓外固定手术治疗股骨粗隆间骨折的临床效果进行分析。方法将2015年1月～2018年1月期间收治的50例股骨粗隆间骨折并进行手术治疗患者作为本次研究对象,按术式分髓外组与髓内组,每组各25例患者,经治疗后对其治疗效果进行分析。结果 (1)髓外组患者术中出血量、手术时间、住院时间及骨折愈合时间分别为(140.0±32.4)mL、(110.0±13.4)min、(21.5±4.4)d及(88.0±6.0)分;髓内组患者术中出血量、手术时间、住院时间及骨折愈合时间分别为(70.0±15.8)mL、(80.0±11.3)min、(15.4±4.6)d及(84.0±5.0)分。髓内组患者术中出血量、手术时间及住院时间均比髓外组患者少,差异有统计学意义(P <0.05);两组患者近期疗效(Harris评分)差异无统计学意义(P> 0.05)。(2)髓外组患者术后并发锁骨钉松脱及穿出股骨头发生率分别为8.0%(2例)及12.0%(3例),总发生率为20.0%(5例);髓内组患者术后并发周围骨折、螺旋刀片穿出股骨头及脱出分别为4.0%(1例)、4.0%(1例)、4.0%(1例)及4.0%(1例),总发生率为16.0%(4例),组间比较差异无统计学意义(P> 0.05)。结论髓内固定手术治疗股骨粗隆间骨折的效果更为理想,具有出血少、创伤小、安全性高、手术时间短、住院时间少等优势,值得推广。
Objective To analyze the clinical effect of intramedullary and extramedullary fixation in the treatment of intertrochanteric fracture of femur. Methods Fifty patients with intertrochanteric fracture of femur who underwent surgical treatment from January 2015 to January 2018 were collected and divided into extramedullary group and intramedullary group according to the surgical method,with 25 patients in each group.The therapeutic effect was analyzed after treatment.Results(1)The intraoperative blood loss,operation time,hospitalization time and fracture healing time of the patients in the extramedullary group were(140.0±32.4)mL,(110.0±13.4)min,(21.5±4.4)d and(88.0±6.0)min,respectively,while in the intramedullary group were(70.0±15.8)mL,(80.0±11.3)min,(15.4±4.6)days and(84.0±5.0)min.Intraoperative blood loss,operation time and hospitalization time of patients in the intramedullary group were less than those in the extramedullary group,and the difference was statistically significant(P < 0.05).There was no significant difference between the two groups in short-term efficacy(Harris score)(P > 0.05).(2)The incidence of postoperative clavicular nail loosening and femoral head perforation in the patients of the extramedullary group were 8.0%(2 cases)and 12.0%(3 cases),respectively,with a total incidence of 20.0%(5 cases).Postoperative perioperative fractures,femoral head perforation and prolapse with spiral blade were 4.0%(1 case),4.0%(1 case),4.0%(lcase) and 4.0%(1 case),respectively,in the intramedullary group,with a total incidence of 16.0%(4 cases).There was no statistically significant difference between the two groups(P > 0.05). Conclusion The effect of intramedullary fixation in the treatment of intertrochanteric fracture of femur is more ideal,which has the advantages of less bleeding,less trauma,higher safety,shorter operation time and less hospitalization time.
作者
黄啟云
林红华
李胜华
HUANG Qiyun;LIN Honghua;LI Shenghua(Qingcheng District People's Hospital of Qingyuan City,Qingyuan 511500,China)
出处
《中国医药科学》
2019年第4期237-239,共3页
China Medicine And Pharmacy
