微创内固定系统与动力髁螺钉内固定治疗股骨远端骨折.docVIP

微创内固定系统与动力操螺钉内固定治疗股骨远端骨折 赵强胡万成 (大邑县人民医院骨科 四川 成都610038) 目的对比观察动力髀螺钉内固定(DCS闲微创内固定系统(LISS) 治疗股骨远端骨折的疗效，为此疾病的治疗提供参考依据。方法将我院20M 年3月一2013年2月收治的股骨远端骨折患者58例按照随机数字表法随机分为 对照组(29例)和实验组(29例)，对照组29例患者给予动力驟螺钉内固定治 疗，实验组29例患者者给予微创内固定系统治疗，比较两组患者治疗效果。结 果所有病例经1年随访。实验组29例患者，优25例，良3例，总优良率为 96.55%；对照组29例患者,优17例，良8例,总优良率为86.21%,组间数据 对比chi;2=7.7788, p=0.0053o结论较动力棘螺钉(DCS)内固定治疗而言，微创 内固定系统(LISS)治疗股骨远端骨折效果更为明显，值得在临床工作中广泛应 用。 关键词 动力礫螺钉内固定；股骨；微创内固定系统；疗效 R687 A 文章 编号 2095-1752 (2015) 26-0013-03 [Abstract Objective To comparative observati on of in ter nal fixati on with dynamic condylar screw (DCS) and the min imally in vasive in ter nal fixati on system (LISS) the curative effect of treatment of distal femoral fractures, provides the ref ere nee for this disease. Method From March 2011 to February 2013 were of 58 patients with distal femoral fractures according to random number table method were randomly divided into control group (29 cases) and the experimental group (29 cases) and con trol group of 29 cases with dynamic con dyle screw in ter nal fixation treatment, the treatment group treated with given minimally invasive internal fixation system in 29 cases, compared two groups of patients with therapeutic effect.Results Experimental group 29 cases, 25 cases, 3 cases, and the fine rate was 96.55%; Control group of 29 patients, 17 cases, 8 cases, and the total fine rate was 86.21%, the contrast between the data set of chi-square = 7.7788, p = 0.0053? Conclusion The dynamic condylar screw (DCS) in terms of internal fixation treatment, minimally invasive treatment of distal femoral fracture fixation system effect is more apparent, worthy of wide application in the clinical work? Key words] Dyn amic con dyle screw in ter nal fixati on; The femur. Min imally in vasive in ter nal fixatio n system; The curative effect 股骨远端骨折是一种非常严重的骨折类型，它属于股骨骨折，但仅占股骨骨 折发生总例的5.6%[1]O由于当代人群生活节奏的不断加快，交通压力越来越大， 各类交通事故不断发生，由事故造成的股骨远端骨折也越来越多。该病的治疗较 为复杂，治疗过程中容易出现各类并发症，且治疗股骨远端粉碎性骨折方法较多, 但缺乏相关比较，临床医生选择其治疗方法尚无统一