摘要
目的:探讨股骨干骨折合并同侧股骨颈或股骨粗隆间骨折的临床特点及疗效。方法:1999年8月至2004年8月共收治股骨干骨折合并股骨颈或股骨粗隆间骨折7例。回顾性分析患者临床资料并随访疗效。全部患者获得随访,平均42.6个月。结果:3例股骨颈骨折、1例股骨粗隆间骨折漏诊。1例股骨干骨折不愈合,1例延迟愈合。1例股骨颈骨折不愈合,1例股骨粗隆间骨折不愈合。术后疗效3例优,2例良,2例差。结论:对于大腿承受轴向暴力,尤其股骨中段骨折患者,应术前拍摄高清晰股骨全长X线片或双髋CT片。早期诊断股骨颈或股骨粗隆间骨折并解剖复位、坚强内固定,是预后良好的关键。
Objective：To investigate the clinical features, reasons for missed diagnosis and clinical effect about ipsilateral femoral neck or intertrochanter and shaft fractures. Methods：There were seven patients suffered ipsilateral femoral neck or intertrochanter and shaft fractures from August 1999 to August 2000. After retrospective analysis and follow-up, clinical experience and effect were summarized. All cases were followed up; the average was 42.6 months. Results：The diagnosis of three femoral neck and one intertrochanter fractures were missed out. One femoral shaft fracture ununioned, the other delayed unioned. One femoral neck and one intertrochanter fracture ununioned. The clinical effect was three good, two fair and two poor. Conclusion： The high quality X-ray film including whole femora or CT scan at hip joints should be examined for the patient whose thigh was injuried longitudinally, especially with middle femoral shaft fracture. Early diagnosis, anatomic reduction and rigid fixation for the femoral neck or intertrochanter fractures were the key of good prognosis.
出处
《军医进修学院学报》
CAS
北大核心
2006年第3期164-166,共3页
Academic Journal of Pla Postgraduate Medical School
关键词
股骨骨折
股骨颈骨折
诊断
治疗
femoral fractures
femoral neck fractures
diagnosis
therapy
