老年股骨粗隆间骨折手术与非手术治疗的并发症及费用比较

来源 :第六届国际骨矿研究学术会议暨第八届国际骨质疏松研讨会 | 被引量 : 0次 | 上传用户:huazhongtan
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  目的:探讨手术与非手术治疗老年股骨粗隆间骨折的住院期间并发症及费用状况,以利选择治疗方式。方法:采用回顾性对比研究,依据下列标准选择病例:(1)年龄为≥60岁;(2)非手术治疗包括骨牵引、皮牵引、牵引后半髋石膏固定,且住院时间不少于6周;(3)手术治疗指应用Gamma钉、动力髋螺钉(DHS)、动力髁螺钉(DCS)、“L”形角度钢板治疗者。入选病例依治疗方式划分两组,手术治疗者为A组,有70例,非手术治疗者为B组,有58例,比较两组间年龄、住院时间、住院医疗费用、并发症及合并疾患。
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目的:报告应用DHS内固定治疗股骨粗隆间骨折的疗效,探讨相关问题。方法:对42例股骨粗隆间骨折采用DHS治疗。本组病例中男17例,女25例;年龄60~96岁,平均78岁。骨折按Tronzo Evans分型,Ⅰ型8例,Ⅱ型10例,Ⅲ型15例,Ⅳ型9例。结果:经6~24个月,平均11个月的随诊,疗效按优、良、可、差分为4级。优:骨折愈合,髋部无痛,恢复伤前状况;良:骨折愈合,偶有疼痛,大部分恢复伤前状
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