干旱区生态环境知识资源中心(Arid): 老年人股骨近端骨折的治疗分析(附84例报告)

Arid

	老年人股骨近端骨折的治疗分析(附84例报告)
其他题名	Analyze the treatment of femur proximal fracture of aged people(adnexal 84 cases)
	艾克拜尔·尤努斯; 阿斯卡尔·买买提明; 曹力; 阿里木江·阿不来提
ISSN	1006-7108
出版年	2007
卷号	13 期号:7 页码:508-510,492
中文摘要	目的探讨老年人股骨近端骨折术前全身状况评估的意义和手术方法的选择.方法回顾性分析1998年1月-2006年2月收治60岁以上(60～91岁)手术治疗的84例老年股骨近端骨折的患者,男性36例,女性48例.骨折类型:股骨颈骨折49例,股骨粗隆问骨折35例,合并内科疾病62例,占74%.内固定物分别为DHS或DCS、空心加压螺纹钉、Gamma钉和PFN45例,人工关节35例(人工股骨头置换术7例,全髋关节置换术28例).部分病例同时给予抗骨质疏松药物治疗.结果手术治疗84例患者,获得随访68例,随访时间6～36.4个月,平均随访31.2个月,有2例股骨颈骨折和1例粗隆间骨折不愈合,2例出现髋内翻.其余患者均基本恢复了伤前功能,优良率88.2%.术后并发症的发生率为19.04%,其中心肌梗塞2例,肺部感染4例,伤口感染2例,深部静脉血栓3例.消化道疾病2例,肾功能衰竭1例,并发症发生无重复,经过治疗后痊愈.住院期间死亡2例.结论老年人股骨近端骨折多合并有内科系统疾病,正确的术前评估是治疗的关键,是降低老年人手术风险的重要因素之一,手术方法的选择是手术成功和术后功能恢复好坏的重要手段之一.手术方法的选择要根据患者伤前的生活质量、年龄、预期生存、全身情况、术前患肢功能、骨骼质量、骨折类型来综合分析,以降低并发症、早期离床、早期康复为目的.同时进行骨质疏松症的治疗,改善骨骼质量.老年人股骨近端骨折的手术治疗可以取得满意的效果.
英文摘要	Objective Approach the meaning of preoperative to the selection of the method to femur proximal fracture of aged people.Methods Retrospectively study 84 cases of femur proximal fracture patient(aged 60 - 91) treated from January 1998 to Feb 2006. Male 36 cases and female 48 cases. Classification of fracture FNF 49 cases femur trochanter fracture 35 cases. Complicated cases 63 , about 74% of the total. Internal fixation classified DHS or DCS, hollow compression fillet, Gam-ma and PFN 45 cases, joint 35 cases (artificial femoral head replacement 7 cases, replacement of total hip 28 cases). Some cases were given anti-osteoporotic. Results Operation 84 cases. 68 cases were followed up for 6 ~ 36,4months with average of 31.2 months. 2 cases of FNF and 1 case of femur trochanter fracture disunion, 2 oases of coxa sdduota, 3 cases succumbed to MD. The rest recovered well. Recovery rate was 88.2% . The rate of postoperative complications was 19.04% . myocardial infarcl 2 cases, deep vein thrombosis 3 cases, Disease of digestive tract 2 cases, renal failure 1 case and no repeating complication, fully recovered after treatment. Death during hospital stay 2 cases. Conclusions The aged femur proximal fracture affiliates MD. Correct preoperalive evaluation is the key to treatment. It’s also an important factor to reduce the risk of operation for the aged. Selection the method of operation is important to operation and functional rehabilitation. We must select method operation according to age, life expectancy, body condition, function of fracture limb, quality of ossature and try to lower complication and realize early rehabilitation. In this way, we can get satisfactory effect.
中文关键词	术前评估 ; 老年 ; 股骨近端骨折 ; 骨质疏松症
英文关键词	Evaluation of preoperative Aged Femur proximal fracture Osteoporosis
语种	中文
国家	中国
收录类别	CSCD
WOS类目	SURGERY
WOS研究方向	Surgery
CSCD记录号	CSCD:2847537
资源类型	期刊论文
条目标识符	http://119.78.100.177/qdio/handle/2XILL650/221758
作者单位	新疆医科大学第一附属医院骨科专科医院创伤二科, 乌鲁木齐, 新疆 830054, 中国
推荐引用方式 GB/T 7714	艾克拜尔·尤努斯,阿斯卡尔·买买提明,曹力,等. 老年人股骨近端骨折的治疗分析(附84例报告)[J],2007,13(7):508-510,492.
APA	艾克拜尔·尤努斯,阿斯卡尔·买买提明,曹力,&阿里木江·阿不来提.(2007).老年人股骨近端骨折的治疗分析(附84例报告).,13(7),508-510,492.
MLA	艾克拜尔·尤努斯,et al."老年人股骨近端骨折的治疗分析(附84例报告)".13.7(2007):508-510,492.