老年股骨粗隆间骨折应用微创小切口锁定加压接骨板内固定术的优势.docVIP

老年股骨粗隆间骨折应用微创小切口锁定加压接骨板内固定术的优势 　　【摘要】 目的：探讨老年股骨粗隆间骨折应用微创小切口锁定加压接骨板内固定术的优势。方法：选取2013年1月-2014年9月本院收治的45例老年股骨粗隆间骨折患者，依据治疗方法将患者分为研究组（n=25）和对照组（n=20）。给予对照组患者传统手术治疗，给予研究组患者微创小切口锁定加压接骨板内固定术治疗。比较两组患者的治疗效果。结果：研究组患者总有效率为96.0%（24/25）显著高于对照组的70.0%（14/20）（P0.05），手术时间、住院时间及骨折愈合时间均短于对照组（P0.05），术中出血量显著少于对照组（P0.05），术后并发症发生率为16.0%（4/25）低于对照组的45.0%（9/20）（P0.05）。结论：老年股骨粗隆间骨折应用微创小切口锁定加压接骨板内固定术效果显著。 　　【关键词】 老年股骨粗隆间骨折； 微创小切口锁定加压接骨板内固定术； 优势 　　Advantages of Minimally Invasive Locking Compression Plate Fixation in the Treatment of Elderly Intertrochanteric Fracture/SONG De-huang， ZHOU Xiong-qing，LI Yong-ling，et al.//Medical Innovation of China，2015，12（15）：110-112 　　【Abstract】 Objective：To investigate the advantages of minimally invasive locking compression plate fixation in the treatment of elderly intertrochanteric fracture.Method：45 elderly patients with intertrochanteric fractures who were treated in our hospital from January 2013 to September 2014 were selected， they were divided into study group （n=25） and control group （n=20）， according to the treatment methods.The control group were given traditional surgical treatment， while the study group were given minimally invasive locking compression plate fixation treatment.Result：The total efficiency of the study group 96.0% （24/25） was significantly higher than the control group 70.0% （14/20） （P0.05）， the operative time， hospital stay， and fracture healing time were significantly shorter（P0.05）， the blood loss was significantly less（P0.05）， the postoperative complication rate 16.0% （4/25） was significantly lower than the control group 45.0% （9/20） （P0.05）.Conclusion：The effect of minimally invasive locking compression plate fixation is remarkable in the treatment of elderly intertrochanteric fracture. 　　【Key words】 Elderly intertrochanteric fracture； Minimally invasive locking compression plate fixation； Advantage 　　First-author’s address：Wuhua County People’s Hospital， Wuhua 514400，China 　　doi：10.3969/j.issn.1674-4985.2015.15.038