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合并2型糖尿病的老年股骨转子间骨折PFNA内固定术后并发症分析
Analysis of Complications of PFNA Internal Fixation for Elderly Patients with Type 2 Diabetes Mellitus
【摘要】 目的对老年股骨转子间骨折合并2型糖尿病与非合并2型糖尿病的患者,经PFNA固定术后并发症对比研究。方法 2013年11月—2015年4月,共收治291例经PFNA手术治疗老年股骨转子间骨折患者,按纳入标准筛选出132例经PFNA手术治疗老年股骨转子间骨折的患者(其中62例患者合并2型糖尿病,70例非合并2型糖尿病),对术后并发症、骨折愈合情况进行比较。结果随访时间3~20个月,平均12.6个月。糖尿病组术后并发症比非糖尿病组明显增多。糖尿病组骨折平均愈合时间14.76周,非糖尿病组骨折平均愈合时间12.7周,两组间比较,差异有统计学意义(P<0.05)。结论合并2型糖尿病影响骨折愈合时间及术后并发症发生率增加。
【Abstract】 Objective To study the complications of the elderly patients with femoral intertrochanteric fracture combined with type II diabetes and non combined type 2 diabetes mellitus. Methods 132 cases in our hospital by PFNA treatment of senile femoral intertrochanteric fracture the patients(including 62 patients with type II diabetes and 70 patients with type II diabetes). The postoperative complications, fracture healing were compared. Results The follow-up time from 3 to 27 months, an average of 14.6 months. Postoperative complications: the diabetic group was significantly increased compared with the non DM group. The average healing time of fracture in the diabetic group was 14.76 weeks, and the average healing time was 12.7 weeks. The difference between the two groups was statistically significant(P < 0.05). Conclusion Combined with type II diabetes mellitus affects the fracture healing time and the incidence of postoperative complications.
【Key words】 Intertrochanteric fracture; Internal fixation; Intramedullary; Combined with diabetes mellitus;
- 【文献出处】 糖尿病新世界 ,Diabetes New World , 编辑部邮箱 ,2015年16期
- 【分类号】R587.1;R687.3
- 【被引频次】3
- 【下载频次】61