微创DHS治疗股骨粗隆间骨折临床效果分析.docVIP

微创DHS治疗股骨粗隆间骨折临床效果分析 　　[摘要]目的 探讨采用微创动力加压髋螺钉（DHS）治疗股骨粗隆间骨折的临床效果。方法 选取我院门诊2016年1～6月收治的64例老年股骨粗隆间骨折患者为研究对象，采用随机数字表法分为观察组和对照组各32例，其中观察组患者予微创DHS手术治疗，对照组患者予传统DHS手术治疗，并在术后1个月进行临床回访，对两组患者术中、术后创伤情况、术后并发症的发生情况以及对患者进行Harris髋关节功能评分。结果 观察组患者平均手术时间、术中出血量、手术切口大小均优于对照组，差异有统计学意义（P0.01）。观察组术后骨不愈合、股骨头缺血性坏死均为0例，术后切口感染2例；对照组患者术后骨不愈合2例，股骨头缺血性坏死1例，术后切口感染3例。观察组术后并发症率为6.25%，低于对照组的18.75%，差异有统计学意义（P0.05）。两组患者Harris髋关节功能评分中，观察组的优良率为96.88%，显著高于对照组的75.00%，差异有统计学意义（P0.05）。结论 微创DHS手术治疗股骨粗隆间骨折创伤小，可减轻手术对骨折周围软组织的破坏，促进骨折愈合，并发症发生率降低。 　　[关键词]微创；动力加压髋螺钉；股骨粗隆间骨折 　　[中图分类号] R683.42 [文献标识码] A [文章编号] 1674-4721（2016）11（c）-0068-03 　　[Abstract]Objective To explore the clinical efficacy of minimally invasive dynamic hip screw （DHS） in the treatment of femoral intertrochanteric fractures.Methods 64 cases of elderly patients with femoral intertrochanteric fracture treated in our hospital clinic from January to June 2016 were selected as research targets.Patients were divided into observation group （32 cases） and control group （32 cases） by random number table.The observation group was given minimally invasive DHS surgery treatment and the control group was given traditional DHS surgery treatment.Clinical data of operation condition，postoperative complication and Harris hip scores between two groups were compared after postoperative followed up for 1 month.Results The operation time，intraoperative blood loss and the length of incision in the observation group was superior to that in the control group，and the difference was statistically significant （P0.01）.The postoperative nonunion and avascular necrosis of femoral head in the observation group was respectively 0 cases，2 cases of postoperative wound infection；2 cases of nonunion，1 cases of avascular necrosis of femoral head，3 cases of incision infection after operation was in the control group.The postoperative complication rate in the observation group was 6.25%，lower than 18.75% in the control group，and the difference was statistically significant （P0.05）.In