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70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。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差异(P<0.05)。观察组患者治疗优良率为82.9%(29/35),与对照组的94.3%(33/35),差异无统计学差异(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、术后引流量更少,平均手术时间更短。
Objective To compare the efficacy of application of dynamic hip screw （DHS） and anatomic locking plate for fixation in treatment of patients with intertrochanteric fracture. Methods Seventy patients with intertrochanteric fracture were chosen for this study, they were divided into 2 groups according to different surgical methods. Patients in observation group were applied with DHS for fixation, while patients in control group used anatomic locking plate for fixation. Results 1. In comparison with observation group, patients in control group were operated with smaller incision, less blood loss and postoperative drainage and with shorter average operating time （ P 〈 0.05 ） . 2. The average excellent rates of patients in observation group and control group were 82.9% （29/35）and 94.3 % （33/35）respectively, there was no significant difference （ P 〉 0.05 ） between these two groups. Conclusion In treatment of patients with intertrochanteric fracture, fixation with DHS or anatomic locking plate has same good effect, but patients with anatomic locking plate for fixation have smaller incisions, less blood loss and postoperative drainage, and its average operating time was shorter.
出处
《临床和实验医学杂志》
2012年第21期1707-1708,共2页
Journal of Clinical and Experimental Medicine
