老年人股骨粗隆间骨折58例手术治疗的疗效观察

Clinical analysis of 58 elderly patients with intertrochanteric fracture accepted surgery treatment

目的观察动力髋螺钉（DHS）和锁定加压钢板（LCP）治疗老年股骨粗隆间骨折的临床疗效。方法老年股骨粗隆间骨折患者中30例接受DHS治疗，28例接受LCP治疗。分析两组患者手术时间、术中出血量。术后随访1年，分析患者的并发症情况和关节功能情况。结果LCP组术后并发症的发生率低于DHS组（P〈0．05），有效率和Harris评分均高于DHS组（P〈0．05）。两组患者的出血量、手术时间和骨折愈合时间差异无统计学意义（P〉0．05）。结论相比较DHS，LCP治疗老年股骨粗隆间骨折具有更好的临床效果。

Objective To investigate the clinical significance of DHS and LCP in treating elderly patients with intertrocbanteric fracture. Methods 58 elderly patients were randomly divided into 2 groups. 30 of them（ DHS group） were treated with DHS, while 28 cases of them were treated with LCP. Blood loss, operation time, bone healing time and Harris score were analyzed. After 1-year follow time, effective rate and complication rate were also recorded and evaluated in the 2 groups. Results The complication rate in LCP group was lower than that in DHS group（P 〈 0.05 ）, while the effective rate and Harris score in LCP were higher than that in DHS group （P 〈 0. 05 ）. There were no significant differences in blood loss, operation time and bone healing time between the 2 groups （ P 〉 0.05 ）. Conclusion Compared with DHS,LCP is effective in treating elderly patients with intertrochanteric fracture.