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[1]王偉良,劉敏,楊國敬,等.經(jīng)皮微創(chuàng)加壓鋼板固定治療股骨轉(zhuǎn)子間骨折的臨床研究[J].中醫(yī)正骨,2012,24(01):21-23.
　WANG Wei-liang*,LIU Min,YANG Guo-jing,et al.Clinical study on the curative effect of minimally invasive percutaneous compression plate on the intertrochanteric fracture[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2012,24(01):21-23.
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經(jīng)皮微創(chuàng)加壓鋼板固定治療股骨轉(zhuǎn)子間骨折的臨床研究()
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《中醫(yī)正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第24卷
期數(shù):
2012年01期
頁碼:
21-23
欄目:
臨床研究
出版日期:
2012-01-31

文章信息/Info

Title:
Clinical study on the curative effect of minimally invasive percutaneous compression plate on the intertrochanteric fracture
作者:
王偉良; 劉敏; 楊國敬; 潘展鵬; 謝秉局; 林光錨
溫州醫(yī)學(xué)院附屬第三醫(yī)院,浙江 瑞安 325200
Author(s):
WANG Wei-liang*; LIU Min; YANG Guo-jing; PAN Zhan-peng; XIE Bing-ju; LIN Guang-mao.
*The Third Affiliated Hospital of Wenzhou Medical College,Rui'an 325200,Zhejiang,China
關(guān)鍵詞:
髖骨折 骨折固定術(shù); 內(nèi) 治療; 臨床研究性
Keywords:
Hip fractures;  Fracture fixation; internal;  Therapies; investigational
摘要:
目的:觀察經(jīng)皮微創(chuàng)加壓鋼板固定治療股骨轉(zhuǎn)子間骨折的臨床療效。方法:將48例股骨轉(zhuǎn)子間骨折患者隨機分為2組,每組24例,切開復(fù)位后分別采用經(jīng)皮微創(chuàng)加壓鋼板與股骨近端髓內(nèi)釘-抗螺旋刀片進(jìn)行內(nèi)固定,觀察2組患者手術(shù)時間、術(shù)中出血量、住院時間、臨床療效、并發(fā)癥等方面的情況,并進(jìn)行比較。結(jié)果:2組間手術(shù)時間、術(shù)中出血量、住院天數(shù)、隨訪時間、臨床療效的差異無統(tǒng)計學(xué)意義(t=1.149,P=0.263; t=1.167,P=0.256; t=1.459,P=0.159; t=0.675,P=0.503; Z=0.000,P=1.000)。經(jīng)皮微創(chuàng)加壓鋼板內(nèi)固定組術(shù)后并發(fā)髖內(nèi)翻畸形2例,肢體短縮1例; 股骨近端髓內(nèi)釘-抗螺旋刀片內(nèi)固定組術(shù)后并發(fā)肺栓塞1例,髖內(nèi)翻畸形2例,步態(tài)改變1例,肢體短縮1例; 所有發(fā)生并發(fā)癥的患者均有不同程度的髖部疼痛。結(jié)論:經(jīng)皮微創(chuàng)加壓鋼板內(nèi)固定治療股骨轉(zhuǎn)子間骨折操作簡單、創(chuàng)傷小、并發(fā)癥少,是手術(shù)治療股骨轉(zhuǎn)子間骨折理想的內(nèi)固定方法之一。
Abstract:
Objective:To observe the clinical curative effect of minimally invasive percutaneous compression plate(MIPCCP)on the intertrochanteric fracture.Methods:Forty-eight patients with intertrochanteric fracture were randomly divided into 2 groups,24 cases in each group.Patients were administrated with internal fixation by MIPCCP and proximal femoral nail anti-rotation(PFNA)after open reduction respectively according to different groups.Such parameters as operation time,amount of blood loss,length of stay in hospital,clinical curative effect and complications were observed and compared between the 2 groups.Results:There was no statistical difference between the 2 groups in the aspects of operation time,amount of blood loss,length of stay in hospital,clinical,follow-up time and curative effect(t=1.149,P=0.263; t=1.167,P=0.256; t=1.459,P=0.159; t=0.675,P=0.503; Z=0.000,P=1.000).After the operation,2 cases with coxa vara deformity and 1 case with extremity shortness were found in group MIPCCP; 1 case with pulmonary embolism,2 cases with coxa vara deformity,1 case with altered tread and 1 case with extremity shortness were found in group PFNA.All the patients with complications were accompanied with different degrees of hip pains.Conclusion:The method of internal fixation with MIPCCP has the advantages of simple operation,minimal-invasion and less complications,so it is one of the ideal internal fixation method in the operative treatment of intertrochanteric fracture.

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備注/Memo

備注/Memo:
通訊作者:劉敏 E-mail:[email protected]
更新日期/Last Update: 2012-01-20