[1]孙向毓,张君伟.动力髋螺钉联合三期辨证治疗股骨颈骨折32例[J].西部中医药,2018,31(06):102-104.
　SUN Xiangyu,ZHANG Junwei.Dynamic Hip Screw Combined with Three Stages Syndrome Differentiation in Treating 32 Cases of Transcervical Fracture[J].Western Journal of Traditional Chinese Medicine,2018,31(06):102-104.
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动力髋螺钉联合三期辨证治疗股骨颈骨折32例()
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《西部中医药》[ISSN:2096-9600/CN:62-1204/R]

卷:
31
期数:
2018年06期
页码:
102-104
栏目:
出版日期:
2018-06-15

文章信息/Info

Title:
Dynamic Hip Screw Combined with Three Stages Syndrome Differentiation in Treating 32 Cases of Transcervical Fracture
文章编号:
1004-6852(2018)06-0102-03
作者:
孙向毓，张君伟
庆阳市西峰区人民医院骨科，甘肃 庆阳 745000
Author(s):
SUN Xiangyu, ZHANG Junwei
Orthopedic Department, Xifeng District People′s Hospital, Qingyang 745000, China
关键词:
骨折; 股骨颈; 动力髋钢板; 分期论治
Keywords:
fracture;  neck of femur;  dynamic hip screw;  syndrome differentiation by the stages
分类号:
R683.42
文献标志码:
B
摘要:
目的：观察动力髋螺钉(DHS)联合骨折三期辨证治疗股骨颈骨折的临床疗效。方法：将64例患者随机分为观察组和对照组，每组32例。对照组给予DHS治疗，术后常规预防感染、止痛、对症治疗；观察组同时给予三期辨证论治。根据骨折复位、愈合情况评价临床疗效。结果：对照组Ⅰ级复位24例，Ⅱ级复位8例；观察组Ⅰ级复位23例，Ⅱ级复位9例。复位情况比较，差异无统计学意义(P＞0.05)。骨折愈合时间观察组为3～7个月，平均4.8个月；对照组为3～8个月，平均5.9个月。2组比较差异有统计学意义(P＜0.05)。术后1年观察组优26例，良4例，差2例，优良率93.8%。对照组优23例，良5例，差4例，优良率87.5%。优良率2组比较，差异有统计学意义(P＜0.05)。结论：DHS内固定联合中医三期辨证治疗股骨颈骨折，具有手术操作简单、固定牢靠、并发症少等特点。
Abstract:
Objective: To observe clinical effects of dynamic hip screw (DHS) combined with three stages syndrome differentiation in the treatment for transcervical fracture. Methods: All 64 patients were randomized into the observation group and the control group, 32 cases each group. The control group were treated by DHS, and the routine after the operation including preventing inflammation, stopping the pain and symptomatic treatment; the observation group were given by three stages syndrome differentiation. Clinical effects were assessed according to the conditions of bone resetting and healing. Results: There were 24 cases with resetting at levelⅠand eight cases with resetting at levelⅡ in the control group; 23 cases with resetting at levelⅠand nine cases with resetting at levelⅡ in the observation group. The difference had no statistical meaning in the comparisons of the resetting conditions (P＞0.05). Healing time of bone fracture in the observation group was three to seven months, average 4.8 months; while the time of the control group was three to eight months, average 5.9 months. The difference had statistical meaning (P＜0.05). There were 26 cases with excellent results, four cases with good results and two cases with poor results, excellent rate of the observation group in one year after the operation was 93.8%. 23 cases with excellent results, five cases with good results and four cases with poor results, excellent rate of the control group was 87.5%. The difference had statistical meaning in the comparisons of excellent rate between both groups (P＜0.05). Conclusion: Internal fixation of DHS combined with three stages syndrome differentiation in treating transcervical fracture owns the features of operating simply, reliable fixation and fewer complications.

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备注/Memo

备注/Memo:
收稿日期：2017-02-27 作者简介：孙向毓(1975—)，男，主治医师。研究方向：创伤和关节疾病的诊治。
更新日期/Last Update: 2018-06-15