重建型交锁髓内钉与动力髋螺钉治疗股骨复杂性骨折的效果对比.docVIP

精品论文 参考文献 重建型交锁髓内钉与动力髋螺钉治疗股骨复杂性骨折的效果对比 张大江 (山西省交口县人民医院骨科 032400) 　　【摘要】目的：对比分析重建型交锁髓内钉与动力髋螺钉治疗股骨复杂性骨折的临床效果。方法：收集我院2012年12月-2013年12月期间诊治的股骨复杂性骨折患者56例作为研究对象，采用随机分组的方式将患者分为观察组与对照组，每组患者各28例。对照组采用动力髋螺钉治疗，观察组采用重建型交锁髓内钉治疗，对两组患者的临床效果进行分析对比。结果：研究结果显示，观察组和对照组患者的手术时间无明显差异(Plt;0．05)，但观察组的住院时间明显短于对照组(Plt;0.05)，术中出血量和术后引流量明显少于对照组(Plt;0．05)。结论：重建型交锁髓内钉治疗股骨复杂性骨折的临床效果优于动力髋螺钉方式，能有效缩短患者的住院时间，减少术中出血量和术后引流量，值得在临床应用上推广。 　　【关键词】重建型交锁髓内钉 动力髋螺钉 股骨复杂性骨折 临床效果 　　【中图分类号】R687 【文献标识码】A 【文章编号】1672-5085（2014）06-0092-01 　　【Abstract】dynamic hip screws for the treatment of clinical effect. Methods: collected from December 2012 to December 2013 during the diagnosis and treatment of 56 patients with femoral complexity fracture as the research object, adopt the way of randomized patients divided into observation group and control group, 28 cases in each group of patients. The control group treated with dynamic hip screw, observation group with reconstruction interlocking intramedullary nail treatment, to analyze the clinical effect of two groups of patients. Results: the results showed that, the observation group and the control group of patients with operation time has no obvious difference (P lt; 0.05), but the length of time of observation group was obviously shorter than the control group (P lt; 0.05), intraoperative blood loss and postoperative flow significantly less than the control group (P lt; 0.05). Conclusion: reconstruction of ac/complexity of interlocking intramedullary nailing for femoral fracture mode of clinical effect is better than that of dynamic hip screw, can effectively shorten the hospitalization time of patients and reduce the intraoperative blood loss and postoperative flow, is worth popularization in clinical application. 　　股骨复杂性骨折主要是指股骨干骨折合并同侧转子下骨折、股骨颈、转子间骨折或者股骨干多段以及粉碎性骨折，这种骨折类型往往是由高能量损伤导致，治疗难度大。稍有不慎就可能导致手术治疗失败或者对预后产生严重影响[1]。 本文旨在对比分析重建型交锁髓内钉与动力髋螺钉治疗股骨复杂性骨折的临床效果，特收集我院2012年12月-2013年12月期间诊治的56例股骨复杂性骨折患者进行分组试验，现报道如下。 　　1