[1]王伟良,刘敏,杨国敬,等.经皮微创加压钢板固定治疗股骨转子间骨折的临床研究[J].中医正骨,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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经皮微创加压钢板固定治疗股骨转子间骨折的临床研究()
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《中医正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第24卷
期数:
2012年01期
页码:
21-23
栏目:
临床研究
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:
王伟良; 刘敏; 杨国敬; 潘展鹏; 谢秉局; 林光锚
温州医学院附属第三医院,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
关键词:
髋骨折 骨折固定术; 内 治疗; 临床研究性
Keywords:
Hip fractures;  Fracture fixation; internal;  Therapies; investigational
摘要:
目的:观察经皮微创加压钢板固定治疗股骨转子间骨折的临床疗效。方法:将48例股骨转子间骨折患者随机分为2组,每组24例,切开复位后分别采用经皮微创加压钢板与股骨近端髓内钉-抗螺旋刀片进行内固定,观察2组患者手术时间、术中出血量、住院时间、临床疗效、并发症等方面的情况,并进行比较。结果:2组间手术时间、术中出血量、住院天数、随访时间、临床疗效的差异无统计学意义(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)。经皮微创加压钢板内固定组术后并发髋内翻畸形2例,肢体短缩1例; 股骨近端髓内钉-抗螺旋刀片内固定组术后并发肺栓塞1例,髋内翻畸形2例,步态改变1例,肢体短缩1例; 所有发生并发症的患者均有不同程度的髋部疼痛。结论:经皮微创加压钢板内固定治疗股骨转子间骨折操作简单、创伤小、并发症少,是手术治疗股骨转子间骨折理想的内固定方法之一。
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.

参考文献/References:

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备注/Memo

备注/Memo:
通讯作者:刘敏 E-mail:lm_idea@yahoo.com.cn
更新日期/Last Update: 2012-01-20