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1、空心螺钉及动力髓螺钉加防旋螺钉治疗股骨颈骨折疗效比较［摘要］目的比较分析空心螺钉与动力髓螺钉加防旋螺钉治疗股骨颈骨折的临床疗效。方法将35例应用空心螺钉治疗的股骨颈骨折患者设立为A组，另选择同期35例应用动力髓螺钉加防旋螺钉治疗的股骨颈骨折患者设立为B组，比较两组的临床手术观察指标、临床疗效和并发症情况。结果与B组比较，A组手术切口小、手术时间短、术中出血量少、骨折愈合时间短、术后住院时间短，但Harris评分低于B组，差异有统计学意义(p<0.05)o与A组比较，B组无一例发生骨折不愈合，无一例内固定失败，无一例股骨头缺血性坏死发生，B组也无一例进行再次手术，疗效明显优
2、于A组，差异有统计学意义(P<0.05)。结论空心螺钉与动力髓螺钉加防旋螺钉治疗股骨颈骨折的临床疗效较好，DHS联合防旋螺钉较空心螺钉内固定并发症少、再次手术率低，而空心螺钉术具有手术切口小、手术时间短、术中出血量少、骨折愈合时间短、术后住院时间短等优点，两种术式各具优缺点，值得广大临床医生予以关注。［关键词］股骨颈骨折；空心螺钉；动力轆螺钉加防旋螺钉［中图分类号］R683［文献标识码］B［文章编号］1673-9701(2012)16-0036-03Comparisonofcannulatedscrewsanddynamichipscrewsplusanti-rotati
3、onscrewintreatmentoffemoralneckfractureLIWeiDepartmentofOrthopedics,ZhejiangProvinceHuzhouCityCentralHospital,Huzhou313000,China[Abstract]ObjectiveTocomparetheclinicalefficacyofhollowscrewsanddynamichipscrewandtheofanti-rotaryscrewfixationoffemoralneckfracture.MethodsThirty-fivepatientswe
4、retreatedwithcannulatedscrewstreatmentoffemoralneckfracturepatientstosetupforgroupA,anotherselectedthesameperiod35casesdynamichipscrewandanti—rotationscrewfortreatmentoffemoralneckfracturesinpatientswiththeestablishmentofgroupB,clinicalefficacyandcomplicationswerecomparedbetweenthetwogrou
5、ps・ResultsComparedwithgroupB,groupAsurgicalincisionwassmall,shorteroperativetime,lessbloodloss,fracturehealingtimewasshort,shorterpostoperativehospitalstay,buttheHarrishipscorewasloweringroupA,thedifferencewasstatisticallysignificancebetweentwogroups・ComparedwithgroupA,groupBandnocaseofno
6、nunion,no-onecasesoffixationfailurecases,avascularnecrosiscasesoccur,thegroupBwasalsonocaseofreoperation,theeffectweresignificantlybetterthangroupA(P<0.05)・ConclusionTheclinicalefficacyofcannulatedscrewsanddynamichipscrewanti-rotationscrewsforfemoralneckfracturesisbetter,theDHSjointanti-r
7、otationscrewscomparedwithcannulatedscrewfixationhavefewcomplications,reoperationrateislow,hollowscrewsurgerywithsmallincisionsurgery.Shorteroperativetime,lessbloodloss,fracturehealingtimeisshort,shorterpostoperativehospitalstay,etc.,eachwithadvantagesanddisadvantage
