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1、两种方式治疗股骨粗隆间骨折疗效研究【摘要】目的:本文对资料完整,随访三年的老年股骨粗隆间骨折的患者进行回顾性研究,对经以中医正骨手法闭式复位,外固定治疗为主的疗法和西医切开复位,内固定手术治疗后的结果进行客观评价,为临床上股骨粗隆间骨折的治疗提供参考。方法:选取于我院经以中医正骨手法闭式复位,外固定治疗或西医切开复位,内固定手术治疗,随访三年,病历及影像资料完整,老年股骨粗隆间骨折患者作为研究对象,将病人按治疗方法分为:中医正骨手法复位外固定治疗、西医切开复位,内固定手术。观察病人经以上两种方法治疗后的随访三年以上的治疗结果,应用h
2、arris评分评分标准进行评分,并通过影象学、步态分析测定观察病人的恢复情况。结果:中医正骨手法复位外固定治疗,骨折按Evans分类:I型1例,II型11例,III型17例,IV型1例。harris评分80.14±1.21O西医切开复位,内固定治疗骨折按Evans分类:I型1例,II型9例,III型19例,IV型2例。harris评分72.34±1.47。结论:如适应症选择得当,经中医正骨手法复位外固定治疗的高龄老年股骨粗隆间骨折的患者较其他疗法具有优势。其疗效好,并发症少,安全系数高,经济费用低,手术操作时间短,较西医手术治疗老年
3、患者更易于接受,且卧床时间明显短于保守治疗,易于早期锻炼。【关键词】老年股骨粗隆间骨折外固定治疗内固定治[Abstract]Objective:Thistextisintacttothematerials,thepatientfollowingupacasebyregularvisitstointertrochanterfractureoftheoldfemurforthreeyearscarriesonreviewingresearch・thisretrospectivestudywasmadethroughanobjective
4、valuationofresultsofvarioustherapiesforcasestreated.Method:Thedefiniteintertrochantericfracturesoftheoldfemurcases.whichweretreatedinourhospitalinfixedoperativeandwhichweretreadedinexternalfixationapparatusmethodthreeyearsago.werecarefullyselectedforthisstudy.Themedica
5、lrecordsandimagematerialsofthepatientswereallintact・And,theywereallverycooperative.Thepatiebtsweredividedintotowgroup:infixedoperativegroupandexternalfixationapparatusgroup.Thethreeyearstherapeuticeffectsandimagechangeofthetowgroupswereobserved.Thetherapeuticeffectswer
6、evaluedbyharriscriterionandanalyticlsystemofgaittest・Thedatawereanalyzedstatisticallybyridit—analysisandT-test・Results:Thetreadedinexternalfixationapparatusgroup,fractureisclassifiedbyEvans:I型1case,II型11cases,III型17cases,IV型1caseoharrisgrade80.14±1.21.thetreadedinDHSgr
7、oup,fractureisclassifiedbyEvans:I型1case,II型9cases,III型19cases,IV型2caseoharrisgrade72.34±1.47oConclusions:Ifindicationchooseproperly,theintertrochantericfracturesoftheoldfemurteatedbyinexternalfixationapparatusmethodthattreatedothertreatmentshaveadvantages・Itscurativeef
8、fectisgood,therearefewcomplications,safetycoefficientishigh,theeconomicexpensesarelow,theoperatingtimeofoperationissh