股骨近端防旋髓内钉治疗股骨转子下骨折 51例体会.docVIP

股骨近端防旋髓内钉治疗股骨转子下骨折 51例体会 　　摘要:目的:探究股骨近端防旋髓内钉治疗股骨转子下骨折的临床治疗效果，并进行分析。方法:选取我院2011年05月至2014年05月住院部收治的发生股骨转子下骨折的51例患者为研究对象，将其按照治疗方式的不同分为治疗组和对照组，其中治疗组患者给予股骨近端防旋髓内钉治疗，对照组患者给予动力髋螺钉治疗，比较分析两组患者的临床疗效及并发症情况。结果:两组患者术前髋关节评分比较t=0.0171（p=0.9864），差异无统计学意义；术后髋关节评分、手术时间、术中出血量的比较上t分别为2.0512、11.2102、5.2345，p0.05，总并发症率的比较上χ2=4.6837（p=0.0305），差异具有统计学意义。结论:股骨近端防旋髓内钉对股骨转子下骨折的治疗，具有操作简单、术中出血量少、并发症少、固定稳定，对后期关节功能恢复起到了促进作用，值得在临床上开展使用。 　　关键词:股骨近端防旋髓内钉；股骨转子下骨折；动力髋螺钉；疗效分析 　　Abstract:Objective:To explore the clinical effect of the treatment of proximal femoral plates in treatment of subtrochanteric fracture rotary intramedullary nail, and carries on the analysis. Methods :the trochanteric femoral of our hospital in 2011 05 to 2014 05 months in hospital admitted 51 cases of fracture patients as the research object, according to the different treatment modalities for the treatment group and the control group, which treated proximal femoral intramedullary nail treatment. Patients, treated with dynamic hip screw on control group patients, compared the clinical efficacy and complications of the two groups of patients. Results:two groups of patients with anterior hip score comparison of t=0.0171 (p=0.9864), no significant difference; postoperative hip score, operation time, intraoperative bleeding volume of T were 2.0512, 11.2102, 5.2345, P 0.05, comparing the total complication rate on X 2 =4.6837 (p=0.0305), statistically significance of difference. Conclusion:proximal femoral antirotation intramedullary nail in the treatment of subtrochanteric fractures, has simple operation, bleeding volume during operation, fewer complications, less stable, the recovery of joint function plays a promoting role, should be carried out in clinical use. 　　keyword:proximal femoral antirotation intramedullary nail; subtrochanteric fracture; dynamic hip screw; curative effect analysis 　　股骨转子下骨折属于股骨转子周围骨折中特殊的类型之一，指的是小转子到远端5.0cm之内的骨折，发生率较股骨转子间及股骨颈骨折低，在整个股骨转子骨折中约占10.0%~30.0%[1]；受伤机制多为：年轻人中的坠落、车祸、重物砸伤等高能量损伤；高龄人群因发生骨质疏松多为