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1、浅析老年骨质疏松性股骨粗隆间骨折的临床效果富锦市中医院骨科156100摘要:目的:研究分析老年骨质疏松性股骨粗隆间骨折患者的有效治疗方法。方法:此次研究的对象是选择我院行切口复位固定术治疗的49例老年骨质疏松性患者。将其临床资料进行回顾性分析,并将其设为普通组。纳入2015年「5月收治的49例老年骨质疏松性股骨粗隆间骨折患者作为治疗组,对治疗组患者实施粗隆骨内固定、股骨头置换术治疗。比较两组患者的手术时间、术中出血量、Harris骯关节功能评分、术后并发症发生率和住院时间。结果:普通组手术时间、住院时间均明显长于治疗组,且术中出血量明显多于治疗组,
2、Harris髓关节功能评分明显低于治疗组,两组比较差异均有统计学意义(P&t;0.05)o治疗组患者的并发症发生率为6.1%,普通组为20.4%,两组比较差异有统计学意义(P<0.05)o结论:粗隆骨内固定、股骨头置换术治疗老年骨质疏松性股骨粗隆间骨折,创伤小、效果好、安全性高,临床推广应用价值显著。关键词:老年;骨质疏松性股骨粗隆间骨折;切口复位固定术;股骨头置换术;疗效[Abstract]Objective:Tostudytheeffectivetreatmentofelderlypatientswithosteoporoticfemor
3、alintertrochantericfracture.Methods:thestudywasperformedin49elderlypatientswithosteoporosiswhoweretreatedbyincisionreductionandfixation.Theclinicaldatawereretrospectivelyanalyzed,andtheirclinicaldataweresetupasacommongroup.Methods49casesofsenileosteoporoticintertrochantericfra
4、ctureweretreatedwith1-5in2015,andthetreatmentgroupwastreatedwiththetreatmentgroup・Theoperationtime,bloodloss,Harrishipfunctionscore,postoperativecomplicationrateandhospitalizationtimeofthetwogroupswerecompared・Results:averageoperativetime,hospitalizationtimeweresignificantlylo
5、ngerthanthoseinthetreatmentgroupandintraoperativebloodlosswaslessthanthatinthecontrolgroup,Harrishipfunctionscorewassignificantlylowerthanthatofthetreatmentgroup,thetwogroupsdifferenceswerestatisticallysignificant(P<0.05).Theincideneeofcomplicationsinthetreatmentgroupwas6.1
6、%,andtheaveragegroupwas20.4%,andtherewassignificantdiffereneebetweenthetwogroups(P<0.05)•Conclusion:intertrochantericfracturefixationandfemoralheadreplacementinthetreatmentofsenileosteoporoticfemoralintertrochantericfracture,trauma,goodeffect,highsafety,clinicalapplicationv
7、alueissignificant.[Keywords]senile;osteoporoticfemoralintertrochantericfracture;incisionreductionandfixation;femoralheadreplacement;curativeeffect骨质疏松性股骨粗隆间骨折为临床常见骨科疾病,发病群体以老年人群为主。近年来,随着我国人口老龄化进程的不断加快,该疾病的发生率呈现出逐年增长的趋势,严重影响老年患者生活质量⑴。手术是临床治疗老年骨质疏松性股骨粗隆间骨折患者的首选方法⑵。笔者所在医院早期多采用切口复
8、位固定术治疗该疾病,但较长一段时间的临床应用发现,该种手术治疗方法的手术创伤性较大、术中出血量多、术后并发症发生率高,对老