手术内固定治疗股骨粗隆间骨折的临床疗效

蔚青松

（陕西省陇县中医医院，陕西 宝鸡，721200）

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摘要：

目的 探究股骨粗隆间骨折采用手术内固定治疗的临床疗效。方法 选择我院2010年2月至2015年12月收治的股骨粗隆间骨折的152例患者，根据治疗方法的不同将其分为非手术组与手术组，各76例。非手术组采用骨牵引疗法，手术组采用内固定治疗，包括DHS，Gamma钉、PFN等，对两组患者的临床治疗效果及并发症进行对比与分析。结果 手术组的总有效率为93.42%，明显高于非手术组的71.05%，差异具有统计学意义（P<0.05）；手术组的并发症发生率为3.95%，非手术组为 6.58%，两组比较，差异不具有统计学意义（P>0.05）。结论 采用内固定手术治疗，可取得良好的治疗效果，值得临床推广。

关键词：股骨粗隆间骨折；内固定手术；骨牵引疗法

中图分类号：R687.3文献标志码：A文章编号：2096-1413(2017)11-0073-02

The clinical effect of internal fixation in the treatment of intertrochanteric fracture
YU Qing-song
(Chinese Medicine Hospital of Long County, Baoji 721200, China)

ABSTRACT: Objective To investigate the clinical effect of internal fixation in the treatment of intertrochanteric fracture. Methods One hundred and fifty-two cases of patients with intertrochanteric fracture in our hospital from February 2010 to December 2015 were selected, which were divided into non operation group and operation group according to the different treatment methods, with 76 cases in each group. The non operative group was treated with bone traction therapy, while the operation group was treated with internal fixation, including DHS, Gamma nail, PFN and so on. The clinical effect and complications of the two groups were compared and analyzed. Results The total effective rate of the operation group was 93.42%, which was significantly higher than 71.05% of the non operation group, the difference was statistically significant (P<0.05). The incidence of complications of the operation group was 3.95%, while the non operation group was 6.58%, the difference was not statistically significant (P>0.05). Conclusion The internal fixation can achieve a good therapeutic effect,which is worthy of clinical popularization.
KEYWORDS: intertrochanteric fracture; internal fixation; bone traction therapy

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