股骨转子间骨折不同手术方法疗效对比

摘要

目的：对不同手术方法治疗股骨转子间骨折的疗效进行观察与对比。方法：选取2012年1月-2013年2月笔者所在科室住院部收治的股骨转子间骨折患者共计71例作为研究对象，按照数字随机数字表法进行分组，A组(n=22)、B组(n=24)、C组(n=25)。A组以髓外固定术治疗，B组以髓内固定术治疗，C组以人工股骨头置换术治疗。对三组患者的术中情况、术后情况、随访情况进行综合对比与观察。结果：B组患者手术时间为(53.6±8.5)min，切口长度为(6.8±1.7)cm，术中出血量为(185.6±32.1)ml，功能训练时间为(4.5±0.6)周，骨折达到愈合标准时间为(10.2±1.3)周，均明显低于A组、C组，差异有统计学意义(P<0.05)；B组患者随访1年内治疗有效率为95.83%(23/24)，与C组比较差异无统计学意义(P>0.05)；与A组比较，差异有统计学意义(P<0.05)。结论：髓内钉固定术治疗股骨转子间骨折疗效确切，可降低术中出血量、切口长度、缩短手术时间，促进功能恢复与骨折愈合，改善远期疗效，值得重视。%Objective:To observe and contrast the curative effect of different operation methods in the treatment of femoral intertrochanteric fracture. Method:In our hospital from January 2012 to February 2013,71 cases of hospitalized patients as the research object of femoral trochanteric fractures treated, were grouped according to the random number table method,the formation of A group(n=22),B group(n=24),C group(n=25). A group with extramedullary fixation treatment,B group with intramedullary fixation treatment,C group treated with hemiarthroplasty. The intraoperative condition,postoperative situation,follow-up status of three groups were compared and observed.Result:The operation time of B group was (53.6±8.5)min,incision length was (6.8±1.7)cm,the amount of intraoperative bleeding was (185.6±32.1)ml,functional training time was (4.5±0.6)weeks,reach the standard time for fracture healing was (10.2±1.3) weeks,they were significantly lower than that of the A group and C group,there were statistical significances(P<0.05).The patients of B group were followed up for 1 year,the effective rate was 95.83%(23/24),there was no significant difference compared with C group(P>0.05),there was significant difference compared with A group(P<0.05).Conclusion:Intramedullary nail fixation for the treatment of femoral intertrochanteric fracture curative has good effect,can reduce the intraoperative blood loss,length of incision,shorter operation time,promote functional recovery and fracture healing,improve the long-term efficacy,is worthy of attention.