股骨转子间骨折不同内固定方式的疗效
Chinese Community Doctors(2014)
Abstract
目的:对采用不同内固定方式固定股骨转子间骨折的疗效进行观察,并比较分析,为股骨转子间骨折的治疗提供科学依据。方法:2010年1月-2014年1月收治股骨转子间骨折患者145例,随机分成两组,73例患者给予锁定钢板内固定方式固定设为观察组;72例患者给予动力髋螺钉内固定方式固定设为对照组。对两组患者的手术出血量、手术时间、引流量、住院时间等进行观察并记录,对数据结果进行比较分析,观察疗效。结果:观察组的平均手术出血量(224.87±12.69)mL,平均手术时间(95.36±14.73)min,平均引流量(115.02±11.75)mL,平均住院时间(15.05±4.74)d;对照组的平均手术出血量(316.24±104.68)mL,平均手术时间(126.83±22.04)min,平均引流量(134.25±7.76)mL,平均住院时间(16.74±4.02)d。在手术出血量、手术时间、引流量方面,两组比较差异具有统计学意义(P<0.05);在住院时间方面,两组比较差异无统计学意义(P>0.05)。结论:对股骨转子间骨折患者,锁定钢板内固定和动力髋螺钉内固定的临床效果都较为满意,但是采用锁定钢板内固定,能够有效减少出血、伤口愈合快,更具有临床推广价值。
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