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股骨干骨折合并同侧股骨颈骨折的手术治疗
Merger Ipsilateral Femoral Fractures of Femoral Neck Fracture Surgery
【摘要】 目的分析股骨干骨折合并同侧股骨颈骨折手术治疗特点。方法回顾性分析12例患者临床资料,对比单一术式与联合术式手术情况。结果联合术式股骨干骨折部位下段2例、中段6例,粉碎性骨折7例、横行及短斜行骨折1例,股骨颈骨折Ⅱ型1例、Ⅲ型7例,单一术式治疗股骨干骨折中段4例,粉碎性骨折1例、横行及短斜行骨折3例,股骨颈骨折Ⅱ型2例、Ⅲ型2例;联合治疗、单一术式治疗受伤至手术时间、患者手术时间、术中出血量、股骨干骨折愈合时间差异具有统计学意义(P<0.05)。结论应在控制危重合并创伤基础上择期手术或急诊手术,据股骨干骨折伤情制定手术风险,选择针对性的内固定术。
【Abstract】 Objective To analyze femoral fracture merger ipsilateral femoral neck fracture surgery. Methods To retrospectively analyze 12 patients data and compare 2 surgical operation situations. Results Combination therapy and single patients with surgical treatment of injury to the operation time, operation time, intraoperative blood loss, femoral fracture healing time differences statistically significant(P<0.05). Conclusion It should be united in control severe trauma or elective surgical procedures based on emergency surgery, according femoral fractures risk, corresponding fixation will be selected.
【Key words】 Femoral fracture; Femoral neck fracture; Combined injury; Curative effect analysis;
- 【文献出处】 中国继续医学教育 ,China Continuing Medical Education , 编辑部邮箱 ,2015年06期
- 【分类号】R687.3
- 【被引频次】2
- 【下载频次】19