【摘要】 目的　探讨手术治疗老年股骨粗隆部骨折的临床效果。方法　 6 0例患者采用加压螺纹钉、加压滑动鹅头钉 (DHS)治疗股骨粗隆部骨折。术后随访 6个月～ 4年。结果　优 4 8例 (80 % ) ,尚好 10例 (16 .6 7% ) ,差 2例 (3.33% )。 10例出现程度不同的髋内翻 (16 .6 7% )。并发症 :院内并发静脉炎、静脉血栓形成 4例 ,脑血栓形成 2例 ,肺内感染 3例 ,切口脂肪液化 1例 ,发生率 (16 .6 7% )。随访发现 ,12例 80岁以上患者因心脏病、脑血管意外、肺内感染于术后 4个月～ 1年半死亡 ,死亡率 2 0 %。结论　老年股骨粗隆部骨折治疗要以创伤小、复位准、固定牢、手术时间短为原则 ,选择术式和固定材料要与病人的自身条件和患者要求相结合 ,加压螺纹钉、DHS是治疗股骨粗隆部骨折较好的方法。更多还原

【Abstract】 Objective To explore the therapeutic effects of operation on senile intertrochanter fracture of femur.Methods 60 cases of intertrochanter fracture of femur were treated with pressure spiral screws and pressure slipping hip nails.The follow-up surveys lasted 6 months to 4 years.Results 48 cases (80%) got complete recovery.10 cases (16.67%) got satisfactory results.Poor treatments were got in 2 cases (3.33%).Coxa vara of different degree occurred in 10 cases (16.67%).The complications (16.67%) were mainly phlebitis and venous thrombus in 4 cases,cerebral thrombosis in 2 cases,intrapulmonary infection in 3 cases and fat liquefaction in incisions in 1 cases.The follow-up survey showed that 12 cases (20%) of the 80 senile patients died of heart disease,cerebrovascular accident and intrapulmonary infection 4 months to 1 year later.Conclusion The treatment of senile intertrochanter fracture of femur with pressure spiral screw and slipping hip nail can result in good curative effects for its slight trauma,accurate reduction,firm fixation and short period of operation.更多还原