资源描述：
《人工股骨头置换及动力髋内固定治疗老年股骨粗隆间骨折疗效对比.doc》由会员上传分享，免费在线阅读，更多相关内容在工程资料-天天文库。
1、人工股骨头置换及动力醜内固定治疗老年股骨粗隆间骨折疗效对比［摘要］目的探讨人工股骨头置换与动力髓内固定治疗老年股骨粗隆间骨折的临床疗效。方法将本院收治的60例老年股骨粗隆间骨折患者随机分为人工股骨头置换组(A组)和动力髓内固定组(B组)，每组各30例，比较两组患者的术中出血量、手术时间、下床负重时间、并发症发生情况及Harris评分优良率。结果A组患者的术中出血量、手术时间均较B组长，差异有统计学意义，P<0.05；两组患者的Harris评分优良率情况无差异；A组患者下床负重时间明显短于B组，差异有统计学意义，P<0.05oA组患者的
2、并发症发生率为16.7%,明显低于B组的36.7%,P<0.05o结论人工股骨头置换治疗老年股骨粗隆间骨折的下床负重时间、并发症发生率明显优于动力髓内固定，但两者的疗效无差异，应根据患者的具体情况选择合适的治疗方法。［关键词］人工股骨头置换；动力髓内固定；老年；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(2012)07(a)-0069-02Curativeeffectcontrastofthetreatmentoffemoralintertrochantericfractureinelde
3、rlypatientsbyhemi-hipprosthesisreplacementanddynamichipscrewXUAiwuDepartmentofOrthopedics,thePeople'sHospitalofSheCountyinAnhuiProvince,SheCounty245200,China[Abstract]ObjectiveToexploretheclinicalcurativeeffectofthetreatmentoffemoralintentrochantericfractureinelderlypat
4、ientsbyhemi-hipprosthesisreplacementanddynamichipscrew・MethodsSixtyelderlycasesofintertrochantericfractureswererandomlydividedintohemi-hipprosthesisreplacementgroup(groupA)anddynamichipscrewgroup(groupB),retrospectively,andeachgroupof30cases,theperi-operativebleeding,op
5、erationtime,bedloadtime,complicationsandHarrisscorewascomparedbetweenthetwogroups・ResultsAgroupofpatientswithperi-operativebleeding,operationtimewerelongerthanthatingroupB,thedifferencewasstatisticallysignificant,P<0.05；Theituationintwosetsofpatient'sHarrisscorehadnodif
6、ference；ThebedloadtimeingroupAwassignificemtlylowerthanthatingroupB,thedifferencewasstatisticallysignificant,P〈0.05.Thecomplicationratewas16.7%ingroupA,lowerthanthe36.7%ofBgroup,P〈0.05.ConclusionHemi-hipprosthesisreplacementtreatthefemoralintertrochantericfractureinelde
7、rlypatients,thebedloadtimeandcomplicationrateissuperiorthandynamichipscrew,buttheeffectofbothhasnodifference,itcanaccordingtothespecificconditionsofpatientstochoosetheappropriatetreatment.[Keywords]Hemi-hipprosthesisreplacement；Dynamichipscrew；Elderly；Femoralintertrocha
8、ntericfracture股骨粗隆间骨折多发生于老年患者，随着人口老龄化，股骨粗隆间骨折的发生率明显上升，其治疗以手术治疗为主，本研究中笔者主要对本院2010年1月〜2011年6月收治的60例老年股骨粗隆间骨折患者的临
