Objective: to study the effect of interfemoral fracture (Intertrochanteric Femoral Fracture, IFF). Methods: according to 36 IFF patients with different surgical procedures, 36 patients were divided into control group ...Objective: to study the effect of interfemoral fracture (Intertrochanteric Femoral Fracture, IFF). Methods: according to 36 IFF patients with different surgical procedures, 36 patients were divided into control group (36 patients, Intertan internal fixation method) and observation group (36 patients, PFNA internal fixation method) to analyze the treatment effect retrospectively. Results: (1) intraoperative bleeding (130.85 ± 19.72) ml less than control group (167.54 ± 26.31) ml;operation time (0.84 ± 0.16) h shorter than control operation time (1.16 ± 0.21) h;implantation time (34.72 ± 4.69) d longer than implantation time (11.54 ± 2.38) d.Two groups showed significant differences (P <0.05).(2) The Harris score of 1 week and 1 month was (58.49 ± 6.73) and (71.84 ± 6.94), respectively, higher than that of the control group. Two groups varied significantly (P <0.05).(3) 28 cases (77.78%) were higher than 19 cases in the control group (52.78%).Two groups showed significant differences (P <0.05).The clinical effect was not significant at 12 months (P> 0.05).(4) Three total complications (8.33%) were less than 4 complications in the control group (11.11%).2 Groups showed no significant difference (P> 0.05). Conclusion: PFNA in IFF patients with shorter bleeding, shorter operation time, better joint function recovery within 1 month and high safety.展开更多
目的分析经尿道前列腺剜除术治疗老年良性前列腺增生的临床疗效。方法选取盐城市第一人民医院泌尿外科2022年9月—2023年3月诊治的老年良性前列腺增生患者78例,均行手术治疗,根据不同术式纳入对照组(39例)与观察组(39例)。对照组行等离...目的分析经尿道前列腺剜除术治疗老年良性前列腺增生的临床疗效。方法选取盐城市第一人民医院泌尿外科2022年9月—2023年3月诊治的老年良性前列腺增生患者78例,均行手术治疗,根据不同术式纳入对照组(39例)与观察组(39例)。对照组行等离子前列腺电切术,观察组行经尿道等离子前列腺剜除术。对比两组的手术指标(手术时间、失血量、前列腺切除重量)、尿动力学指标(残余尿量、最大尿流率)、临床症状[国际前列腺症状评分(International prostate symptom score,IPSS)]、生活质量评分[世界卫生组织编制的生存质量量表(the world health organization quality of Life,WHOQOLBREF)]、手术效果以及并发症(尿道狭窄、假性尿失禁、尿潴留、包膜穿孔)。结果观察组的手术时间、失血量少于对照组,前列腺切除重量大于对照组(P<0.05)。两组术后3个月的残余尿量均减少,最大尿流率均增大(P<0.05);且观察组术后3个月的残余尿量少于对照组,最大尿流率大于对照组(P<0.05)。两组术后3个月的IPSS评分均降低,WHOQOLBREF评分均升高(P<0.05);且观察组术后3个月的IPSS评分低于对照组,WHOQOL-BREF评分高于对照组(P<0.05)。观察组的总有效率高于对照组(P<0.05)。观察组的并发症发生率低于对照组(P<0.05)。结论经尿道前列腺剜除术治疗老年良性前列腺增生的临床疗效较好,可改善手术指标与尿动力学指标、且能减轻患者临床症状、提高生活质量,具有手术时间短、出血少、并发症少的特点。展开更多
文摘Objective: to study the effect of interfemoral fracture (Intertrochanteric Femoral Fracture, IFF). Methods: according to 36 IFF patients with different surgical procedures, 36 patients were divided into control group (36 patients, Intertan internal fixation method) and observation group (36 patients, PFNA internal fixation method) to analyze the treatment effect retrospectively. Results: (1) intraoperative bleeding (130.85 ± 19.72) ml less than control group (167.54 ± 26.31) ml;operation time (0.84 ± 0.16) h shorter than control operation time (1.16 ± 0.21) h;implantation time (34.72 ± 4.69) d longer than implantation time (11.54 ± 2.38) d.Two groups showed significant differences (P <0.05).(2) The Harris score of 1 week and 1 month was (58.49 ± 6.73) and (71.84 ± 6.94), respectively, higher than that of the control group. Two groups varied significantly (P <0.05).(3) 28 cases (77.78%) were higher than 19 cases in the control group (52.78%).Two groups showed significant differences (P <0.05).The clinical effect was not significant at 12 months (P> 0.05).(4) Three total complications (8.33%) were less than 4 complications in the control group (11.11%).2 Groups showed no significant difference (P> 0.05). Conclusion: PFNA in IFF patients with shorter bleeding, shorter operation time, better joint function recovery within 1 month and high safety.
文摘目的分析经尿道前列腺剜除术治疗老年良性前列腺增生的临床疗效。方法选取盐城市第一人民医院泌尿外科2022年9月—2023年3月诊治的老年良性前列腺增生患者78例,均行手术治疗,根据不同术式纳入对照组(39例)与观察组(39例)。对照组行等离子前列腺电切术,观察组行经尿道等离子前列腺剜除术。对比两组的手术指标(手术时间、失血量、前列腺切除重量)、尿动力学指标(残余尿量、最大尿流率)、临床症状[国际前列腺症状评分(International prostate symptom score,IPSS)]、生活质量评分[世界卫生组织编制的生存质量量表(the world health organization quality of Life,WHOQOLBREF)]、手术效果以及并发症(尿道狭窄、假性尿失禁、尿潴留、包膜穿孔)。结果观察组的手术时间、失血量少于对照组,前列腺切除重量大于对照组(P<0.05)。两组术后3个月的残余尿量均减少,最大尿流率均增大(P<0.05);且观察组术后3个月的残余尿量少于对照组,最大尿流率大于对照组(P<0.05)。两组术后3个月的IPSS评分均降低,WHOQOLBREF评分均升高(P<0.05);且观察组术后3个月的IPSS评分低于对照组,WHOQOL-BREF评分高于对照组(P<0.05)。观察组的总有效率高于对照组(P<0.05)。观察组的并发症发生率低于对照组(P<0.05)。结论经尿道前列腺剜除术治疗老年良性前列腺增生的临床疗效较好,可改善手术指标与尿动力学指标、且能减轻患者临床症状、提高生活质量,具有手术时间短、出血少、并发症少的特点。
