探讨股骨近端并股骨干骨折手术治疗的方法及临床效果

Clinical Effect of Surgical in Treatment of Femoral Proximal and Femoral Shaft Fracture

目的对股骨近端并股骨干骨折患者手术治疗的方法和效果进行探讨分析。方法选取我院接收的60例股骨近端并股骨干骨折患者来分析研究,将患者分成对照组和观察组,均有30例。观察组使用有限切开复位锁定钢板固定法治疗,对照组采用使用髓内钉固定法治疗,对两组的治疗效果进行比较分析。结果观察组患者的平均手术时间为(1.7±0.6)h、患者术中平均出血量为(389.0±13.0)ml、平均骨折愈合时间为(4.2±0.6)个月,对照组分别为(1.9±0.4)h;(391.0±10.0)ml以及(4.1±0.8)个月;观察组有21例优秀,8例良好,1例一般,优良率是96.67%(29/30),对照组有18例优秀,10例良好,2例一般,优良率是93.33%(28/30),两组各项指标差异无统计学意义(P>0.05);两组术后无并发症出现,患者的髋关节和膝关节功能恢复良好。结论股骨近端合并股骨干骨折患者接受有限切开复位锁定钢板固定和髓内钉固定的治疗方式均有比较好的效果,效果突出,操作简单,能够保留患肢,两种治疗方式均有较高应用价值。

Objective To investigate and analyze the methods and effects of surgicai treatment of femoral proximal and femoral shaft fractures. Methods 60 cases of patients who suffered from femoral proximal and femoral shaft fractures were analyzed and divided into two groups, the control group and the observation group, with 30 cases in each group. The observation group was treated with limited open reduction and locking plate fixation, and the control group was treated with intramedullary nail fixation. The therapeutic effects of the two groups were compared and analyzed. Results The average operation time was （1.7±0.6） h, the average amount of bleeding was （389.0±13.0） ml, the average healing time was （4.2±0.6） months, the control group was （1.9±0.4） h; （391.0±10.0） ml and （4.1±0.8） months; the observation group had 21 cases excellent, 8 cases good, 1 case ordinary, the excellent rate was 96.67% （29/30）, the control group had 18 cases excellent, 10 cases good, 2 cases ordinary, the excellent rate was 93.33% （28/30）, the indicators of the two groups had no significant difference （P 〉 0.05）; there was no complications in two groups after operation, hip and knee joint function of patients got recovery. Conclusion Limited open reduction and locking plate fixation and intramedullary nail fixation methods can treat the femur proximal and femoral shaft fracture, and can achieve outstanding effect, the operation is simple and can keep on the limb, the application value of two kinds of treatment methods is high.