【摘要】目的：探讨动力髋螺钉(DHS)治疗股骨转子间骨折的临床疗效。方法：选择我院2007年4月～2009年4月股骨转子间骨折患者83例，随机分为对照组和观察组，其中观察组采用动力髋螺钉治疗，对照组采用非手术牵引治疗。观察两组患者的下地活动时间、骨折愈合时间、并发症发生率以及住院时间，评定两组患者临床治疗效果。结果 ：观察组和对照组并发症发生率比较，差异有统计学意义(P<0.05);观察组下地活动时间、住院时间和对照组比较，差异有统计学意义(P<0.05);观察组骨折愈合时间和对照组比较，差异无统计学意义(P>0.05)，观察组优良率(90.60%)明显高于对照组(75.00%)(P<0.05)。结论：DHS治疗股骨转子间骨折，可以使患者尽早下床活动、缩短患者住院时间和减少住院期间并发症的发生率，临床治疗效果显著。
【关键词】 股骨转子间骨折;动力髋螺钉;牵引
Effect analysis of 43 intertrochanteric fracture cases treated with dynamic hip screw
LIN Ji
(Orthopedic Department, Wenchang People s Hospital 570000, China)
[ABSTRACT] Objective: To investigate the clinical effects of treating intertrochanteric fractures with dynamic hip screw (DHS). Methods: Eightythree cases that were admitted to our hospital during April 2007 and April 2009 were randomly divided into observation group and control group, which were treated with DHS and nonsurgical traction respectively. Time for ambulation and fracture healing, complication incidence and hospital stay of the two groups were observed and used for effect evaluation. Results: Except hospital stay (P>0.05), all objects including time for ambulation and fracture healing, complication incidence of the two groups were significantly different (P<0.05).Excellent and good rate 90.60% was significantly higher than that of the control group(75.00%)(P<0.05).Conclusion: Treating intertrochanteric fracture patients with dynamic hip screw (DHS) is effective by making complication incidence lower, time for ambulation and hospital stay shorter.
[KEY WORDS] Intertrochanteric fractures; Dynamic hip screw; Traction
股骨转子间骨折又称股骨粗隆间骨折，指从股骨颈基底至小转子水平以上的骨折，因股骨转子间多为松质骨，其机械强度受骨质疏松影响较大，故此骨折多发于老年人，随着人口老龄化，转子间骨折发病率亦有增高趋势，以前对股骨转子间骨折的治疗多采用保守非手术治疗，患者的牵引时间长，骨折愈合后容易形成畸形，在住院期间容易出现褥疮、坠积性肺炎、深静脉血栓形成等并发症。现在根据患者情况，多采用手术治疗，我科采用动力髋螺钉(DHS)治疗股骨转子间骨折，观察其疗效，现报道如下。
1 资料与方法
1.1 一般资料
选择我院2007年4月～2009年4月收治的股骨转子间骨折患者83例
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