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时间:2020-04-22
《股骨转子间骨折髓内固定失败的影响因素研究-论文.pdf》由会员上传分享,免费在线阅读,更多相关内容在应用文档-天天文库。
1、HainanMedJ,Jtm.2014,Vo1.25,No.11海南医学2014年6月第25卷第11期doi:10.3969/j.issn.1003—6350.2014.11.0619股骨转子间骨折髓内固定失败的影响因素研究吴冰,熊发明,许宁宁(宣城市中心医院骨科,安徽宣城242000)【摘要】目的明确影响髓内固定失败的危险因素。方法选取2002年12月至2012年12月我院骨科收治的200例股骨转子间骨折患者作为研究对象,分析年龄、性别、骨折类型在股骨转子间骨折患者中的基础作用,比较Singh指数、基础
2、疾病、TAD、手术时间、激素药物使用及Cleveland分位对股骨转子间骨折预后的影响。采用多因素分析方法研究股骨转子间骨折患者髓内固定失败的危险因素。结果年龄、性别对股骨转子间骨折髓内固定的结局影响较小,I型、Ⅱ型骨折的髓内固定失败率分别为l1.8%、12.8%,而Ⅲ、Ⅳ的失败率为1.9%、3.5%,差异有统计学意义(P<0.05)。TAD>25nlnl者,髓内固定失败率为20.0%,较TAD<25mm者明显升高(P3、一中、中下、中后区域较其他位置固定有较高的术后成功率,差异有统计学意义(尸4、duflaryfixationforintertro-chantericfracture.WUBing,XIONGFa—ming,XUNing-ning.DepartmentofOrthopedicsXuancheng,CentralHo~iml,Xuancheng24200~Anhui,cHINA【Abstract】ObjectiveTodeterminetheriskfactorsrelatedtothefailureinintramedullaryfixation.MethotisTwohundre5、dpatientswithintertrochantericfractureadmittedtoOrthopedicasDepartmentofourhospitalfromDecember2002toDecember2012wereselected.Theage,genderandinfluenceofthetypeontheintertrochan—tericfracturewerear~alyzed.Andthentheinfluenceofmesinghindex,underlyingdiseas6、es,TAD,operationtime,US-ingofhormonedrugsandapplicationofClevelandquintileontheprognosisoftheintertrochantericfracturewerecom—paredbetweentwogroups.Multivariateanalysiswasusedtomeasureriskfactorsrelatedtothefailureofintramedul—laryfixationforintertrochant7、ericfracture.ResultsTheoutcomeofintramedullaryfixationforintertrochantericfrac.tureswaslessafectedbyageandgender.ThefailurerateinintramedullaryfixationfortypeIandtypeIIfractureswere12.8%andl1.8%withnosignificantdiference.while1.9%and3.5%fortypeIIIand1Vfra8、ctureswithsignifi-cantdiference(P<0.05).TheintramedullaryfixationfailurerateinpatientswithTADabove25I砌was20.0%,whichwashigherthanthatinpatientswithTADbelow25mrnfP<0.05).TheSuccessrateofintramedullaryfixationdecrease
3、一中、中下、中后区域较其他位置固定有较高的术后成功率,差异有统计学意义(尸4、duflaryfixationforintertro-chantericfracture.WUBing,XIONGFa—ming,XUNing-ning.DepartmentofOrthopedicsXuancheng,CentralHo~iml,Xuancheng24200~Anhui,cHINA【Abstract】ObjectiveTodeterminetheriskfactorsrelatedtothefailureinintramedullaryfixation.MethotisTwohundre5、dpatientswithintertrochantericfractureadmittedtoOrthopedicasDepartmentofourhospitalfromDecember2002toDecember2012wereselected.Theage,genderandinfluenceofthetypeontheintertrochan—tericfracturewerear~alyzed.Andthentheinfluenceofmesinghindex,underlyingdiseas6、es,TAD,operationtime,US-ingofhormonedrugsandapplicationofClevelandquintileontheprognosisoftheintertrochantericfracturewerecom—paredbetweentwogroups.Multivariateanalysiswasusedtomeasureriskfactorsrelatedtothefailureofintramedul—laryfixationforintertrochant7、ericfracture.ResultsTheoutcomeofintramedullaryfixationforintertrochantericfrac.tureswaslessafectedbyageandgender.ThefailurerateinintramedullaryfixationfortypeIandtypeIIfractureswere12.8%andl1.8%withnosignificantdiference.while1.9%and3.5%fortypeIIIand1Vfra8、ctureswithsignifi-cantdiference(P<0.05).TheintramedullaryfixationfailurerateinpatientswithTADabove25I砌was20.0%,whichwashigherthanthatinpatientswithTADbelow25mrnfP<0.05).TheSuccessrateofintramedullaryfixationdecrease
4、duflaryfixationforintertro-chantericfracture.WUBing,XIONGFa—ming,XUNing-ning.DepartmentofOrthopedicsXuancheng,CentralHo~iml,Xuancheng24200~Anhui,cHINA【Abstract】ObjectiveTodeterminetheriskfactorsrelatedtothefailureinintramedullaryfixation.MethotisTwohundre
5、dpatientswithintertrochantericfractureadmittedtoOrthopedicasDepartmentofourhospitalfromDecember2002toDecember2012wereselected.Theage,genderandinfluenceofthetypeontheintertrochan—tericfracturewerear~alyzed.Andthentheinfluenceofmesinghindex,underlyingdiseas
6、es,TAD,operationtime,US-ingofhormonedrugsandapplicationofClevelandquintileontheprognosisoftheintertrochantericfracturewerecom—paredbetweentwogroups.Multivariateanalysiswasusedtomeasureriskfactorsrelatedtothefailureofintramedul—laryfixationforintertrochant
7、ericfracture.ResultsTheoutcomeofintramedullaryfixationforintertrochantericfrac.tureswaslessafectedbyageandgender.ThefailurerateinintramedullaryfixationfortypeIandtypeIIfractureswere12.8%andl1.8%withnosignificantdiference.while1.9%and3.5%fortypeIIIand1Vfra
8、ctureswithsignifi-cantdiference(P<0.05).TheintramedullaryfixationfailurerateinpatientswithTADabove25I砌was20.0%,whichwashigherthanthatinpatientswithTADbelow25mrnfP<0.05).TheSuccessrateofintramedullaryfixationdecrease
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