空心螺钉与动力髋螺钉加防旋螺钉治疗股骨颈骨折疗效对比分析.docVIP

精品论文 参考文献 空心螺钉与动力髋螺钉加防旋螺钉治疗股骨颈骨折疗效对比分析 简阳市第二人民医院 641421 摘要：目的：对空心螺钉与动力髋螺钉加防旋螺钉在股骨颈骨折患者中的治疗效果进行比较。方法：选择我院2013年9月-2015年9月间62例股骨颈骨折患者，所有患者入院后均分为两组，一组为观察组，一组为对照组，每组31例，观察组患者采用动力髋螺钉联合防旋螺钉进行治疗，对照组患者采用空心螺钉进行治疗，比较两组患者的治疗效果，同时调查两组患者并发症发生率。结果：观察组患者治疗效果评价有效率为96.8%，对照组为74.2%，比较存在明显差异，P＜0.05。对照组患者并发症发生率为29.0%；观察组患者并发症发生率为3.2%，比较存在明显差异，P＜0.05。结论：动力髋螺钉联合防旋螺钉的治疗效果更为显著，并发症发生率低。 关键词：空心螺钉；防旋螺钉；动力髋螺钉；股骨颈骨折 [Abstract]Objective：cannulated screw and dynamic hip screw and anti rotation screw in femoral neck fracture patients in the therapeutic effect were compared.Methods：our hospital in 2013 and 2015 in 62 cases of femoral neck fracture patients，all patients admitted to hospital were divided into two groups，one group for the observation group，a group was control group，each group of 31 cases in the observation group were treated with dynamic hip screws combined with anti rotation screw for treatment，the control group were treated with cannulated screw for treatment，compared two groups of patients with treatment and investigation of two groups of patients with complications rate.Results：in the observation group of patients treatment effect evaluation efficiency was 96.8%.Control group was 74.2%.There is significant difference，P lt; 0.05.The control groups of patients with complications occurrence rate was 29.0%；complication in patients in the observation group rate was 3.2%.There is significant difference，P lt; 0.05.Conclusion：dynamic hip screws combined with anti screw treatment effect is more remarkable，complications occurrence rate is low. [Key words]hollow screw；screw fixation；dynamic hip screw；femoral neck fracture 股骨颈骨折是骨科常见的疾病，患者临床表现主要为关节疼痛、功能活动受限、畸形。本病在临床中多采用手术治疗，但不同的治疗方式对患者的影响也不同，甚至会引发不同的并发症，严重影响患者的健康和生活。有研究证实，动力髋螺钉联合防旋螺钉在股骨颈骨折患者中的治疗效果非常显著，能够改善患者预后效果，为此，我院在2013年9月-2015年9月间，选择62例股骨颈骨折患者，对空心螺钉与动力髋螺钉加防旋螺钉在股骨颈骨折患者中的治疗效果进行比较。 1.资料与方法 1.1一般资料 选择我院2013年9月-2015年9月间62例股骨颈骨折患者，所有患者入院后均分为两组，一组为观察组，一组为对照组，每组31例。观察组患者采用动力髋螺钉联合防旋螺钉进行治疗，患者平均年龄为（54.1plusmn;12.