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时间:2020-04-20
《人工股骨头置换术治疗转子间骨折151例.pdf》由会员上传分享,免费在线阅读,更多相关内容在行业资料-天天文库。
1、第26卷第3期菏泽医学专科学校学报VOL.26N0.32014年J0URNALOFHEZEMEDICALC0LLEGE2014DOI:10.39690.issn.1008—4118.2014.03.07人工股骨头置换术J厶口7J转子间骨折151例蒋冬升(菏泽医学专科学校,山东菏泽274000)摘要:目的探讨骨水泥型双极人工股骨头置换术在治疗老年粉碎型股骨转子间骨折的疗效。方法对收治的151例老年粉碎型股骨转子间骨折患者进行骨水泥型双极人工股骨头置换术,对手术时间、术中出血量、术后离床时间、住院天数、并发症发生率进行观察。结果151例手术均顺利,患者均获随访时间
2、12~36个月,手术时间i00~200rain,平均(123±65)rain;术中出血120~500mL,平均(314±125)mL;术后下床时间3~13d,平均(6±3.2)d;住院时间9~21d,平均(13±2.7)d。均无关节感染、脱位、假体周围骨折等并发症发生。死于其它疾病4例。结论老年股骨转子间粉碎型骨折患者行人工双极股骨头置换术疗效满意,方法可行有效。关键词:股骨;骨折;老年人;人工股骨头置换中图分类号:R683.42文献标识码:A文章编号:1008—4118(2014)一0017—03151CasesofElderComminutedIntert
3、r0chantericFractureWithFemoralHeadProsthesisReplacementJiangDongshengrHezeMedicalCollege,Heze,274000,shandong)Abstract:ObjectiveToinvestigatetheclinicalefficaciesofartificiallybipolarfemoralheadreplacementintreat—mentofcomminutedintertrochantericfemoralfractureintheelderly.Methods15
4、1patientsoftheaffiliatedhospitalofhezemedicalcollegewithcomminutedintertrochantericfemoralfractureretrospectivelyanalyzedweretreatedwithanifi—ciallybipolarfemoralheadreplacement.Theoperationtime,intraoperativebloodloss,postoperativeoutofbedtime,hospitalizationdays,complicationswereo
5、bserved.Results151casesareperformedsmoothly,thefollow—upperiodfrom12to36months.operationtimewas100~200min,theaveragetimewas(123_+65)min;intraoperativebloodlosswas120~500ml,theaverageamountofbloodlosswas(314+125)ml;thepatientsstayedinbedwasonlyfor3—13day;theaveragetimewas(6±3.2)day;h
6、ospitalizationdayswas9~21day,theaveragetimewas(13-+2.7)day.Therewerenojointinfection,dislocation,prosthesissuchcomplicationsoccurredaroundfractures.Diedfromotherdiseasewas4.Con-clusionTheresultsofartificiallybipolarfemoralheadreplacementintreatmentofelderlypatientswithintertrochante
7、ricfractureandosteoporosiswassatisfactory,themethodwasfeasibleandeffective.Keywords:intertrochantericfracture;elderlypatient;femoralheadreplacement.股骨转子间骨折(intertr0chantericfracture)发生创伤所致,其发生率分别为27.27%和38.64%。老率占全身骨折的4%一5%,占髋部骨折的32.8%,老年年患者股骨转子间骨折的发病率较高,对其治疗有多人发病率较高,且男性患者的发病率多于女性。年
8、种不同方法,,但对于部分老年伴有骨质疏
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