目的 比较骨牵引治疗与手术治疗髋臼骨折的效果.方法 以75例髋臼粉碎性骨折患者为例,分为手术组38例和牵引组37例.两组患者治疗前经充分病情诊断,并选择合适的治疗方案.经治疗后,观察和比较两组的住院时间、髋关节恢复时间、满意复位率及总有效率.结果 治疗后,手术组的平均住院时间(11.56 ±2.54)d与髋关节平均恢复时间(72.86 ±12.58)d均比牵引组低.手术组满意复位率为92.1%,优于牵引组满意复位率的77.2%,两组差异有统计学意义(P<0.05).手术组总有效率为94.7%,优于牵引组总有效率75.7%,两组差异有统计学意义(P<0.05).讨论 手术方法是治疗髋臼粉碎性骨折的有效方法.%Objective To contrast the effect between skeleton traction and operation for the treatment of ace -tabular comminuted fracture.Method Seventy-five patients with acetabula comminuted fracture were were divided into operation group(n=38)and traction group(n=37).The patients in the two groups received adequate diagnosis before treatment and selected appropriate treatment.The hospitalization time,recovery time of hip joint,satisfactory reduction rate and total effective rate were observed and compared between two groups after treatment.Results The average hos-pitalization time(11.56 ±2.54)d and average hip recovery time(72.86 ±12.58)d of operation group were lower than those in the traction group.The satisfactory rate of reduction in the operation group was 92.1%,which was better than that of the traction group(77.2%),and there was a significant difference(P<0.05).The total effective rate of the op-eration group was 94.7%,which was higher than that of the traction group(75.7%),and there was a significant differ-ence(P<0.05).Conclusion The operation is an more effective method for the treatment of acetabula comminuted fracture.
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