目的：比较微创动力髋螺钉与传统动力髋螺钉在股骨转子间骨折患者中的应用效果。方法选择2013年1月~2014年6月辽宁省大连市第二人民医院收治的股骨转子间骨折患者140例，按照随机数字表法分为两组，每组70例。研究组采用微创动力髋螺钉技术，对照组采用传统动力髋螺钉技术。随访患者12个月，统计两组伤口长度、手术时间、失血量、住院时间、愈合时间、愈合率、骨折复位满意率等指标，同时给予X线摄片，采用功能恢复评分评价两组的治疗效果。结果研究组伤口长度、手术时间、住院时间、愈合时间均短于对照组，失血量少于对照组，愈合率高于对照组，差异有统计学意义(P<0.05或P<0.01)。两组治疗前后效果比较，差异有统计学意义(P<0.05)；研究组治疗后效果好于对照组(P<0.05)。研究组骨折复位满意率为100.0%(70/70)，对照组骨折复位满意率为88.6%(62/70)，差异有统计学意义(P<0.05)。结论微创动力髋螺钉治疗股骨转子间骨折具有切口小，出血少，患者恢复快等优势，不良反应少，效果明显，值得临床推广。%Objective To compare application effect of minimally invasive and conventional dynamic hip screw in pa-tient with femoral intertrochanteric fracture. Methods 140 patients with femoral intertrochanteric fracture from January 2013 to June 2014 in the Second People's Hospital of Dalian City in Liaoning Province were selected and divided into two groups according to random number table method, each group had 70 cases. Minimally invasive technology of dy-namic hip screw was used in study group, traditional technology of dynamic hip screw was used in control group. 12 months followed-up of patients, wound length, operation time, blood loss, hospitalization time, fracture healing time, healing rate, fracture reset satisfaction rate of two groups were counted, while X-ray radiography was given, functional recovery score was used to evaluate therapeutic effect of two groups. Results The wound length, operation time, hospi-talization time, fracture healing time in study group were shorter than those in control group, blood loss in study group was less than that in control group, healing rate in study group was higher than that in control group, with statistical differences (P< 0.05 or P < 0.01). Therapeutic effect before and after treatment between two groups was compared, with statistical difference (P< 0.05). Therapeutic effect after treatment in study group was better than that in control group, with statistical difference (P<0.05). The fracture reset satisfaction rate in study group was 100.0% (70/70), frac-ture reset satisfaction rate in control group was 88.6% (62/70), the difference was statistically significant (P< 0.05). Conclusion Minimally invasive dynamic hip screw in the treatment of femoral intertrochanteric fracture has the advan-tages of small incision, less bleeding, fast recovery of patients with less adverse reaction, the effect is obvious, which is worthy of clinical promotion.
展开▼
