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河北医学  2019, Vol. 25 Issue (10): 1680-1683    DOI: 10.3969/j.issn.1006-6233.2019.10.024
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髓内固定术与倒置LISS术治疗老年不稳定型股骨转子间骨折的疗效与安全性分析
郭旭锋, 王亚静, 佘江, 杜斌, 刘勇军
陕西省西安市第九医院, 陕西 西安 710054
Efficacy and Safety of Intramedullary Fixation and Inverted LISS in the treatment of Elderly Unstable Intertrochanteric Fractures
GUO Xufeng, WANG Yajing, SHEN Jiang, et al
Ninth Hospital of Xi'an, Shaanxi Xi'an 710054, China
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摘要 目的: 探讨髓内固定术与倒置微创内固定(LISS)术对不稳定型老年股骨转子间骨折患者的影响。方法: 选取2015年7月﹣2017年7月我院收治的98例不稳定型老年股骨转子间骨折患者为研究对象,采用随机数字表法分为A组和B组各49例。A组患者采用髓内固定术,B组患者采用倒置LISS术。比较两组患者手术指标(总出血量、手术时间、住院时间、术后首次完全负重时间、骨折愈合时间)、术后1年Harris评分、并发症发生率。结果: A组患者手术总出血量多于B组,手术时间、住院时间、首次完全负重时间、骨折愈合时间均短于B组(P﹤0.05);两组患者术后1年Harris评分和并发症发生率比较差异均无统计学意义(P﹥0.05)。结论: 不稳定型老年股骨转子间骨折患者采取髓内固定术和倒置LISS术均可达到良好疗效,且安全性较高,术后髋关节恢复情况无差异,但髓内固定术可缩短手术时间和住院时间,且术后完全恢复更迅速。
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关键词 股骨转子间骨折髓内固定倒置LISS不稳定型Harris评分    
AbstractObjective: To explore the effects of intramedullary fixation and inverted less invasive stabilization system (LISS) on elderly patients with unstable intertrochanteric fractures. Methods: 98 elderly patients with unstable intertrochanteric fractures in our hospital from July 2015 to July 2017 were selected for the study. 98 patients were divided into group A (odd number, 49 cases) and group B (even number, 49 cases) according to the odd and even hospitalization number. Group A was given intramedullary fixation, and group B was given inverted LISS. The operation indexes (total bleeding volume, operative time, hospital stay, first full weight-bearing time, fracture healing time), Harris score at 1 year after operation and incidence rate of complications were compared between the two groups. Results: The total bleeding volume in group A was more than that in group B, and the operative time, hospital stay first full weight-bearing time and fracture healing time were shorter than those in group B (P<0.05). There were no significant differences in the Harris score at 1 year after operation and incidence rate of complications between the two groups (P>0.05). Conclusion: Intramedullary fixation and inverted LISS both have good efficacy and high safety in the treatment of elderly patients with unstable intertrochanteric fractures, and there is no difference in hip recovery after operation. However, intramedullary fixation can shorten the operative time and hospital stay, and can more rapidly complete recovery after operation.
Key wordsIntertrochanteric fractures    Intramedullary fixation    Inverted LISS    Unstable    Harris score
    
基金资助:陕西省卫生厅科研基金项目,(编号:2016D01610)
通讯作者: 刘勇军   
引用本文:   
郭旭锋, 王亚静, 佘江, 杜斌, 刘勇军. 髓内固定术与倒置LISS术治疗老年不稳定型股骨转子间骨折的疗效与安全性分析[J]. 河北医学, 2019, 25(10): 1680-1683.
GUO Xufeng, WANG Yajing, SHEN Jiang, et al. Efficacy and Safety of Intramedullary Fixation and Inverted LISS in the treatment of Elderly Unstable Intertrochanteric Fractures. HeBei Med, 2019, 25(10): 1680-1683.
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