摘要
目的:研究分析股骨近端锁定钢板(LPFP)内固定治疗老年股骨转子间骨折(IF)的临床疗效。方法:选择2011年6月至2014年5月接受治疗的老年IF患者124例作为研究对象。64例接受LPFP术式,纳入观察组;另60例接受动力髋螺钉(DHS)术式,纳入对照组,对比两组患者的手术及住院相关指标,随访1年,对比两组手术疗效以及手术后的并发症情况。结果:观察组的术程、出血量、住院时间以及术后负重的时间均分别显著少于对照组,差异均有统计学意义(均P<0.05)。观察组经手术治疗后的优良率是82.81%,显著高于对照组的66.67%,差异有统计学意义(P<0.05)。观察组手术后总并发症的发生率为1.56%,显著低于对照组的15.00%,差异有统计学意义(P<0.05)。结论:LPFP术式治疗老年IF,疗效较好,恢复快,且并发症较少,值得进行推广应用。
Objective： To study clinical effect of locking plate fication on proximal femul（ LPFPF） in the treatment of elderly intertrochanteric fracture（ IF）. Method： From June 2011 to May 2014 in our hospital,124 cases of elderly patients with IF. were selected and divided into the observation gorup（ n = 64 cases） which received LPFPF. and the control group（ n = 60 cases） which received dynamic hip screw（ DHS）,then the surgery and hospitalization related indicators in the two groups were compared,all the patients were followed up for 1 year,the therapeutic effect of the two groups in surgery and postoperative complications were compared. Result： The operative procedure,bleeding amount,hospitalization time and the time of weight bearing in the observation group were significantly less than those in the control group,and the differences were statistically significant（ P〈0. 05）. The excellent and good rate of the observation group after surgery was 82. 81%,was statistically higher than the control group＇s 66. 67%,the difference was statistically significant（ P〈0. 05）. The incidence of postoperative complications was 1. 56% in the observation group,was statistically lower than 15% in the control group,and the difference was statistically significant（ P〈0. 05）. Conclusion： LPFPF is effective in the treatment of elderly patients with IF,can make patients recover quickly,and has fewer complications,which is worthy of popularization and application.
出处
《河北医学》
CAS
2016年第2期275-278,共4页
Hebei Medicine
基金
四川省卫生厅课题
(编号:14ZA0192)
关键词
股骨近端
锁定钢板内固定
老年
股骨转子间骨折
Proximal femur
Locking plate fixation
Elderly
Intertrochanteric fracture
