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Objective To compare the curative effects of intertrochantefie fractures in aged by two operative methods. Methods 85 cases of elderly patients suffered from intertrechanteric fractures were retrospectively ana-lyzed. Out of the 85 cases,45 cases were treated with dynamic hip screw(DHS) and 40 cases were fixed with Gamma nails. The curative effects and complications were compared simultaneously. Results The total excellent rate was 83.5% in 85 patients,the rates of DHS and Gamma nails group were 77. 8% and 90% (X2 = 2. 84, P 0. 05), re-spectively. The operative time (66. 4 ± 19. 4)min in DHS group were less than the Gamma nail group (875 ± 25.5) rain (t=2. 451 ,P < 0. 05), but the length of surgical incision (19. 6± 5. 1)cm greater than the Gamma nail group (10. 3 ± 4. 7) cm(t = 2. 501, P < 0. 05). The complications of DHS group (11.1%) were significanfly higher than that of Gamma nail group(2. 5%) (X2 =3.94,P<0. 05). Conclusion As long as the physical condition can toler-ate,surgery recommend the use of DHS and Gamma nail surgical techniques in aged patients with intertrechanteric fractures. 相似文献
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目的比较老年股骨转子间骨折两种手术方法疗效。方法对85例老年股骨转子间骨折分别采用动力髋螺钉(DHS)45例,Gamma钉40例进行手术治疗,比较2组疗效和并发症发生率。结果85例老年股骨转子间骨折经治疗后优良率为83.5%;DHS及Gamma钉治疗股骨转子问骨折的优良率分别为77.8%和90.0%(0=2.84,P〉0.05);DHS组的手术时(66.4±19.4)min少于Gamma钉组(875±25.5)min(t=2.451,P〈0.05),但手术切口长度(19.6±5.1)cm大于Gamma钉组(10.3±4.7)cm(t=2.501,P〈0.05),DHS组并发症11.1%明显高于Gamma钉组2.5%(X2=3.94,P〈0.05)。结论股骨转子间骨折患者只要身体状况能耐受手术者推荐其使用DHS和Gamma钉手术方法。 相似文献
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例1。男,37岁。车祸中左下腹被铁棒撞伤1小时于1995年4月4日入院。查体:腿软稍胀,左下腹、会阴部及阴茎皮肤挫擦伤,左下腹触及10cm×5cm皮下腹壁缺损,左侧卧位或用力咳嗽时有较大肿块突出,质较,表面可闻及肠鸣音,平卧时消失或用手可还纳肿块入腹腔,右下腹腹腔穿刺抽得 相似文献
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目的 探讨膝关节骨性关节炎采用关节镜结合中药治疗的临床效果.方法 选择我院2009年6月~2011年6月收治的膝关节骨性关节炎患者80例,随机分为两组,对照组40例单纯采用关节镜清理治疗,观察组40例在此基础上结合中药治疗,就两组临床资料进行回顾性分析.结果 观察组40例中,治愈30例,显效4例,有效5例,无效1例,有效率为97.5%.对照组40例中,治愈24例,显效6例,有效2例,无效8例,有效率为80%.观察组优于对照组临床有效率,差异有统计学意义(P<0.05).Lequence膝关节严重指数评分两组治疗后情况均优于治疗前,治疗6个月后情况显著优于对照组(P<0.05).结论 关节镜为治疗膝关节骨性关节炎的有效方法,结合中药治疗可明显提高临床效果,改善膝关节功能,减轻疼痛,明显改善了患者生存质量. 相似文献
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Objective To compare the curative effects of intertrochantefie fractures in aged by two operative methods. Methods 85 cases of elderly patients suffered from intertrechanteric fractures were retrospectively ana-lyzed. Out of the 85 cases,45 cases were treated with dynamic hip screw(DHS) and 40 cases were fixed with Gamma nails. The curative effects and complications were compared simultaneously. Results The total excellent rate was 83.5% in 85 patients,the rates of DHS and Gamma nails group were 77. 8% and 90% (X2 = 2. 84, P 0. 05), re-spectively. The operative time (66. 4 ± 19. 4)min in DHS group were less than the Gamma nail group (875 ± 25.5) rain (t=2. 451 ,P < 0. 05), but the length of surgical incision (19. 6± 5. 1)cm greater than the Gamma nail group (10. 3 ± 4. 7) cm(t = 2. 501, P < 0. 05). The complications of DHS group (11.1%) were significanfly higher than that of Gamma nail group(2. 5%) (X2 =3.94,P<0. 05). Conclusion As long as the physical condition can toler-ate,surgery recommend the use of DHS and Gamma nail surgical techniques in aged patients with intertrechanteric fractures. 相似文献
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探讨外固定器治疗胫腓骨骨折的疗效。回顾分析1998~2003年间应用单臂外固定器治疗胫腓骨骨折33例临床资料,认为外固定器治疗胫腓骨骨折可获良好效果。 相似文献
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