不同手术方法治疗老年股骨粗隆间骨折的临床效果分析

杨冬

[摘要] 目的 探讨不同手术方法治疗老年股骨粗隆间骨折的临床效果。 方法 方便选取该院2015年10月—2017年10月收治的70例老年股骨粗隆间骨折患者为研究对象，将其随机分为观察组和对照组，各35例。观察组采取股骨近端髓内钉术，对照组实施股骨近端钢板固定术，比较两组的治疗效果。 结果 观察组术中出血量、平均手术时间、住院时间均低于对照组，两组数据比较差异有统计学意义（t=27.313 6、2.753 6、7.690 9，P<0.05）。术后6个月回访，观察组的骨折愈合优良率91.43%，明显高于对照组的71.43%，差异有统计学意义（χ2=4.628 9，P<0.05）。 结论 对老年股骨粗隆间骨折患者采取股骨近端髓内钉手术，取得了良好的临床治疗效果，可有效提高骨折愈合率，具有重要的临床价值，值得推广。

[关键词] 手术方法;老年股骨粗隆间骨折;临床效果

[中图分类号] R687.3          [文献标识码] A          [文章编号] 1674-0742（2018）08（c）-0095-03

Different Surgical Methods for the Treatment of Intertrochanteric Fractures in the Elderly

YANG Dong

Department of Orthopaedics and Traumatology， Pizhou Hospital of TCM， Pizhou， Jiangsu Province， 221300 China

[Abstract] Objective To investigate the clinical effects of different surgical methods for the treatment of intertrochanteric fractures in the elderly. Methods A total of 70 elderly patients with intertrochanteric fractures treated in the hospital from October 2015 to October 2017 were convenient selected and randomly divided into observation group and control group， with 35 cases in each group. The observation group was treated with proximal femoral nails， and the control group was performed with proximal femoral plate fixation. The treatment effects of the two groups were compared. Results The blood loss， average operation time， and length of stay in the observation group were lower than those in the control group. The data in the two groups were statistically significant（t=27.313 6， 2.753 6， 7.690 9， P<0.05）. After half a year's visit， the excellent rate of fracture healing in the observation group was 91.43%， which was significantly higher than that of the control group （71.43%）， which was statistically significant（χ2=4.628 9， P<0.05）. Conclusion The treatment of femoral intertrochanteric fractures in the elderly patients with proximal femoral nails has achieved good clinical results and can effectively improve the healing rate of fractures. It has important clinical value and is worthy of promotion.

[Key words] Surgical methods; Femoral intertrochanteric fracture in the elderly; Clinical effect

股骨粗隆間骨折多发于老年群体，这是因为老年群体骨质脆且疏松，并且骨折发生位置为海绵质骨，极易导致老年群体引发股骨粗隆间骨折[1]。该骨折在临床上采取手术治疗为主。目前，临床上的手术治疗方案包括了股骨近端髓内钉术、动力髋螺钉内固定术、髋关节置换术、股骨近端钢板固定术等[2]。为比较分析股骨近端髓内钉术、股骨近端钢板固定术在治疗老年股骨粗隆间骨折的临床效果，该文在该院2015年10月—2017年10月间收治的老年股骨粗隆间骨折患者中方便选取70例进行研究，现报道如下。

1  资料与方法

1.1  一般资料

该次的研究对象为方便选取该院收治的70例老年股骨粗隆间骨折患者，将其随机分为观察组和对照组，每组35例。所有研究对象经临床影像学诊断后均确诊为股骨粗隆间骨折，并且均为手术指征相符。当患者患有严重的心肝肾障碍、精神疾病、肢体功能障碍等疾病时不在该次研究对象的选取范围内。……