动力髋螺钉治疗股骨转子间骨折43例疗效分析

Effect analysis of 43 intertrochanteric fracture cases treated with dynamic hip screw

目的:探讨动力髋螺钉(DHS)治疗股骨转子间骨折的临床疗效。方法:选择我院2007年4月～2009年4月股骨转子间骨折患者83例,随机分为对照组和观察组,其中观察组采用动力髋螺钉治疗,对照组采用非手术牵引治疗。观察两组患者的下地活动时间、骨折愈合时间、并发症发生率以及住院时间,评定两组患者临床治疗效果。结果:观察组和对照组并发症发生率比较,差异有统计学意义(P<0.05);观察组下地活动时间、住院时间和对照组比较,差异有统计学意义(P<0.05);观察组骨折愈合时间和对照组比较,差异无统计学意义(P>0.05),观察组优良率(90.60%)明显高于对照组(75.00%)(P<0.05)。结论:DHS治疗股骨转子间骨折,可以使患者尽早下床活动、缩短患者住院时间和减少住院期间并发症的发生率,临床治疗效果显著。

Objective： To investigate the clinical effects of treating intertrochanteric fractures with dynamic hip screw （DHS）. Methods：Eighty-three cases that were admitted to our hospital during April 2007 and April 2009 were randomly divided into observation group and control group, which were treated with DHS and non-surgical traction respectively. Time for ambulation and fracture healing, complication incidence and hospital stay of the two groups were observed and used for effect evaluation. Results. Except hospital stay （P〉0. 05）, all objects including time for ambulation and fracture healing, complication inci dence of the two groups were significantly different （P〈0.05）. Excellent and good rate 90.60% was significantly higher than that of the control group（75.00%）（P〈0.05）. Conclusion. Treating intertrochanter ic fracture patients with dynamic hip screw （DHS） is effective by making complication incidence lower, time for ambulation and hospital stay shorter.