资源描述：
《动力髋螺钉与股骨近端髓内钉治疗股骨转子间骨折临床分析》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、安徽医科大学硕士毕业论文16.0±2.2ｄ,46.9±4.9ｄ,11.3±0.7ｗ，97%，住院时间，术后下床时间，骨折临床愈合时间，比较差异有统计学意义(p<0．05)。髋关节功能(Harris评分标准)优良率,两组比较无统计学意义(P>o．05)。并发症发生率，A组：40%；B组：10%。经比较差异均有统计学意义(P<0.05)。结论：1对于稳定性骨折EvensⅠ型,Ⅱ型可使用DHS固定，对于不稳定性骨折EvensⅢ型，Ⅳ型，Ⅴ型可根据情况慎重使用DHS固定，且术后需用防旋鞋和皮牵引外展位固定，延长下床活动时间。2PFN内固定治疗稳定性骨折EvensⅠ型,Ⅱ型
2、，不稳定性骨折EvensⅢ型，Ⅳ型，Ⅴ型股骨转子间骨折，取得了良好的效果。3股骨转子间骨折PFN组与DHS组固定相比较,PFN组具有手术创伤小,出血少,骨折愈合时间短,术后功能恢复快,并发症发生率低等特点,值得临床上推广。关键词：股骨转子间骨折动力髋螺钉股骨近端髓内钉2安徽医科大学硕士毕业论文ClinicalResearchOnDynamicHipScrewAndProximalFemoralNailInTreatingIntertrochantericFracturesAbstract：Objective：Tocompareandanalysiscurative
3、effectofdynamichipscrew(DHS)andproximalfemoralnail(PFN)inthetreatmentofintertrochantericfractures.Methods：FromJanuary2006toDecember2009,35malesand25females;agedfrom40to78years,withtheaverageof62.8years;Courseofdiseasefrom2to12days,withtheaverageof5.6days,withoutassociatedinjuries.Dyna
4、michipscrew(DHS)groupisAgroup:30patients,proximalfemoralnail(PFN)groupisBgroup:30patients.AccordingtoEvansclassificationstandardofIntertrochantericfractures,AGroup:Ⅰtype6cases,Ⅱtype6cases,Ⅲtype10cases,Ⅳtype3cases,Ⅴtype5cases;Bgroup:Ⅰtype5cases,Ⅱtype8cases,IIItype11cases,Ⅳtype3cases,Ⅴt
5、ype3cases.Intherespectoftheaveragelengthoftheincision,operationtime,bloodloss,X-rayexposuretimes,postoperativedrainagevolume,bloodtransfusionvolume,hospitalizationtime,postoperativeambulationtime,healingtimeoffracture,criteriaofHarrishipfunctionscoreafterhalfayear,complicationrate,thi
6、spapermadethecomparativeanalysisofclinicalefficacybetweenthetwogroupsandstatisticalanalysis.Results：60patientswerefollowedupfor9monthsto4years,withtheaverageof2yearsand3monthsandnodeath.Theaveragelengthoftheincision,operationtime,bloodloss,X-rayexposuretimes,postoperativedrainagevolum
7、e,bloodtransfusionvolume,Agroupwere13.4±1.9cm,92.8±13.0min,321±39.4ml,5.8±1.2times,84.1±10.1ml,316.6±79.1ml;Bgroupwere7.6±1.1cm,59.0±6.9min,204.6±32.7ml,5.0±0.9times,53.9±8.7ml,196.6±18.2ml;Intherespectoftheaverage3安徽医科大学硕士毕业论文lengthoftheincision,operationtime,X-rayexposuretimes,posto
8、perat
