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不同方法处置股骨小转子在DHS治疗股骨粗隆间骨折中的比较研究
引用本文:阮文礼,曲俊才.不同方法处置股骨小转子在DHS治疗股骨粗隆间骨折中的比较研究[J].中国中医骨伤科杂志,2011(11):41-42.
作者姓名:阮文礼  曲俊才
作者单位:辽宁省大连市骨科医院;
摘    要:目的:比较分析在DHS治疗股骨粗隆间骨折中,使用不同方法处置股骨小转子的临床疗效。方法:回顾63例股骨粗隆间骨折合并股骨小转子骨折的患者行DHS治疗,其中对股骨小转子行钢丝或螺钉固定31例(A组)、未行股骨小转子固定32例(B组)。比较2组术中出血量、手术时间和随访时Sanders髋关节创伤股骨粗隆间骨折的评定标准评分结果,并进行临床和统计学分析。结果:随访时间10~23个月(平均13个月),A、B2组术式的优良率分别为93.5%和93.8%,2组优良率比较差异无统计学意义(P>0.05),2组手术时间、术中出血量比较,差异有统计学意义(P<0.05)。结论:不同方法处置股骨小转子在DHS治疗股骨粗隆间骨折中的远期疗效比较差异无统计学意义。

关 键 词:股骨  小转子  粗隆间骨折  内固定

Comparative Study on Different Disposals of Lesser Trochanter of Femur in the Treatment of Intertrochanteric Fracture with Dynamic Hip Screw
RUAN Wenli QU Juncai Orthopedic Hospital of Dalian,Liaoning ,China.Comparative Study on Different Disposals of Lesser Trochanter of Femur in the Treatment of Intertrochanteric Fracture with Dynamic Hip Screw[J].Chinese Journal of Traditional Medical Traumatology & Orthopeics,2011(11):41-42.
Authors:RUAN Wenli QU Juncai Orthopedic Hospital of Dalian  Liaoning  China
Institution:RUAN Wenli1 QU Juncai1 1Orthopedic Hospital of Dalian,Liaoning 116021,China
Abstract:Objective: To compare different disposals of lesser trochanter of femur in the treatment of intertrochanteric fracture with dynamic hip screw(DHS).Methods:Sixty-three cases with intertrochanteric fractures were operated with two different operative methods with DHS: 31 cases with open reduction and fixation with the femoral lesser trochanter,and 32 patients with unfixed femoral lesser trochanter.The clinical data such as operation time,amount of blood loss and hip function scores were collected and statisti...
Keywords:Femur  Lesser trochanter  Intertrochanteric fractures  Internal fixation  
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