股骨粗隆间骨折患者采用手术治疗的方法及效果探讨(1)
[摘要] 目的 分析股骨粗隆间骨折患者采用手术治疗的方法及效果。方法 随机抽选该院2015年2月—2016年12月收治的88例股骨粗隆间骨折患者为研究对象,将其随机分为对照组和观察组各44例,对照组进行非手术治疗,观察组则采用手术治疗,然后比较两组患者Harris功能评分、骨折愈合时间及并发症发生情况。结果 观察组Harris功能评分优良率97.73%显著高于对照组的77.27%;观察组骨折愈合时间(13.12±3.6)周低于对照组的(19.23±4.1)周,且观察组并发症发生率为4.55%,对照组并发症发生率为22.73%,明显观察组优于对照组,两组比较差异有统计学意义(P<0.05)。 结论 在救治股骨粗隆间骨折患者时,采用手术治疗效果良好,不仅能够缩短骨折愈合时间,还能减少并发症发生率,大大提高患者生活质量,值得在临床上广泛推行。
[关键词] 手术治疗;股骨粗隆间;骨折;生活质量
[中图分类号] R5 [文献标识码] A [文章编号] 1674-0742(2017)04(a)-0019-03
Study on Method and Effect of Operative Treatment for Patients with Femoral Intertrochanteric Fractures
SUN Dai-tong, ZHAO Hai-jun
Department of Joint Trauma Surgery, Jiaozhou Central Hospital, Qingdao, Shandong Province, 266300 China
[Abstract] Objective To analyze the method and effect of operative treatment for patients with femoral intertrochanteric fractures. Methods Random selection 88 cases of patients with femoral intertrochanteric fractures admitted and treated in our hospital from February 2015 to December 2016 were selected and randomly divided into two groups with 44 cases in each, the control group adopted the non-operative treatment, while the observation group adopted the operative treatment, and then the Harris function score, fracture healing time and occurrence of complications were compared between the two groups. Results The excellent and good rate of Harris function score in the observation group was obviously higher than that in the control group, (97.73% vs 77.27%), and the fracture healing time in the observation group was lower than that in the control group, [(13.12±3.6)weeks vs(19.23±4.1)weeks], and the incidence rate of complications in the observation group was obviously better than that in the control group, (4.55% vs 22.73%), and the difference was statistically significant by comparison(P<0.05). Conclusion The operation treatment effect for patients with femoral intertrochanteric fractures is good, which can not only shorten the fracture healing time, but also reduce the incidence rate of complications, greatly improve the quality of life of patients, and it is worth clinical wide promotion.
[Key words] Operation treatment; Intertrochanter of femur; Fracture; Quality of life
在臨床上,股骨粗隆间骨折是一种常见的髋部骨折之一,好发于老年人群,该疾病患者常常存在内科疾患和骨质疏松症[1]。近年来,有研究表明,积极手术治疗可有效避免并发症发生,进一步防止患肢短缩和髋内翻畸形,从而降低死亡率[2]。为此,该研究对该院2015年2月—2016年12月期间收治的股骨粗隆间骨折患者共88例展开分析,并分组,一组采用非手术治疗,另一组采用手术治疗,旨在探讨手术治疗应用于股骨粗隆间骨折患者中的疗效,现报道如下。
1 资料与方法
1.1 一般资料, http://www.100md.com(孙代同 赵海军)
[关键词] 手术治疗;股骨粗隆间;骨折;生活质量
[中图分类号] R5 [文献标识码] A [文章编号] 1674-0742(2017)04(a)-0019-03
Study on Method and Effect of Operative Treatment for Patients with Femoral Intertrochanteric Fractures
SUN Dai-tong, ZHAO Hai-jun
Department of Joint Trauma Surgery, Jiaozhou Central Hospital, Qingdao, Shandong Province, 266300 China
[Abstract] Objective To analyze the method and effect of operative treatment for patients with femoral intertrochanteric fractures. Methods Random selection 88 cases of patients with femoral intertrochanteric fractures admitted and treated in our hospital from February 2015 to December 2016 were selected and randomly divided into two groups with 44 cases in each, the control group adopted the non-operative treatment, while the observation group adopted the operative treatment, and then the Harris function score, fracture healing time and occurrence of complications were compared between the two groups. Results The excellent and good rate of Harris function score in the observation group was obviously higher than that in the control group, (97.73% vs 77.27%), and the fracture healing time in the observation group was lower than that in the control group, [(13.12±3.6)weeks vs(19.23±4.1)weeks], and the incidence rate of complications in the observation group was obviously better than that in the control group, (4.55% vs 22.73%), and the difference was statistically significant by comparison(P<0.05). Conclusion The operation treatment effect for patients with femoral intertrochanteric fractures is good, which can not only shorten the fracture healing time, but also reduce the incidence rate of complications, greatly improve the quality of life of patients, and it is worth clinical wide promotion.
[Key words] Operation treatment; Intertrochanter of femur; Fracture; Quality of life
在臨床上,股骨粗隆间骨折是一种常见的髋部骨折之一,好发于老年人群,该疾病患者常常存在内科疾患和骨质疏松症[1]。近年来,有研究表明,积极手术治疗可有效避免并发症发生,进一步防止患肢短缩和髋内翻畸形,从而降低死亡率[2]。为此,该研究对该院2015年2月—2016年12月期间收治的股骨粗隆间骨折患者共88例展开分析,并分组,一组采用非手术治疗,另一组采用手术治疗,旨在探讨手术治疗应用于股骨粗隆间骨折患者中的疗效,现报道如下。
1 资料与方法
1.1 一般资料, http://www.100md.com(孙代同 赵海军)