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《經(jīng)皮微創(chuàng)應(yīng)用股骨近端解剖鎖定鋼板治療高齡骨質(zhì)疏松粗隆間骨折.pdf》由會員上傳分享,免費在線閱讀,更多相關(guān)內(nèi)容在行業(yè)資料-天天文庫。
1、·5O·廣州醫(yī)藥2015年7月第4§卷第4翅肺源性心臟病失代償期血管內(nèi)皮功能及心功能的影[7]ZwerinkM,Brusse—KeizerM,vanderValkPD,eta1.響[J].世界中西醫(yī)結(jié)合雜志,2010(8):692-695.Selfmanagementforpatientswithchronicobstructivepul—[5]ChenHY,LiSG,ChoWC,eta1.Theroleofacupointmonarydisease[J].CochraneDatabaseSystRev,stimulationasanadjuncttherapyforlungca
2、ncer:asys—2014,19(3):CD002990.tematicreviewandmeta.a(chǎn)nalysis『J].BMCComplement[8]LariSM,AttaranD,TohidiM.ImprovingcommunicationAhemMed,2013(17);13:362.betweenthephysicianandtheCOPDpatient:anevalua-[6]CoyleME,ShergisJL,HuangET,eta1.AcupuncturetionoftheutilityoftheCOPDAssessmentTestinprimarythera
3、piesforchronicobstructivepulmonarydisease:acare[J].PatientRelatOutcomeMeas,2014,(5):systematicreviewofrandomized,controlledtrials[J].145—152.AhemTherHealthMed,2014,20(6):10-23.(收稿日期:2015-02—16)經(jīng)皮微創(chuàng)應(yīng)用股骨近端解剖鎖定鋼板治療高齡骨質(zhì)疏松粗隆間骨折林軍華趙善明陳進(jìn)宇郭志榮張健榮廣東省江門市新會人民醫(yī)院骨科(江f-j529100)【摘要】目的探討經(jīng)皮微創(chuàng)技術(shù)應(yīng)用股骨近端解剖鎖定鋼板治療高齡
4、骨質(zhì)疏松粗隆間骨折的治療。方法我院自2009年12月—_2013年6月共收治高齡骨質(zhì)疏松粗隆問骨折56例,男35例,女21例;年齡76~94歲,平均81歲。所有患者應(yīng)用股骨近端解剖鎖定鋼板通過經(jīng)皮微創(chuàng)置入技術(shù)治療。根據(jù)Harris髖關(guān)節(jié)功能評分對治療效果進(jìn)行評定。結(jié)果56例手術(shù)時間30~90min,平均45min;術(shù)中失血量70~250mL,平均110mL。全部患者獲隨訪,時間6—13.5個月,平均9.5個月。x線骨折愈合時間3—6個月,平均3.5個月。其中優(yōu)41例,良12例。結(jié)論對于高齡骨質(zhì)疏松患者粗隆間骨折,采用經(jīng)皮微創(chuàng)置入股骨近端解剖鎖定鋼板內(nèi)固定治療,具有手術(shù)創(chuàng)傷小、出血
5、少、安全可靠等優(yōu)點,有良好的臨床應(yīng)用價值?!娟P(guān)鍵詞】高齡骨質(zhì)疏松股骨粗隆骨折微創(chuàng)解剖鎖定鋼板D0I:10.3969/j.issn.1000—8535.2015.04.016MinimallyinvasivepercutaneousplateosteosynthesisbyusingproximalfemuranatomiclockingplateinthetreatmentofsenileosteoporosisintertroehantericfracturesinelderlypatientsLinJunhua,ZhaoShanming,ChenJingyu,eta1.Dep
6、artmentofOrthopaedics,XinhuiPeople'sHospital,Jiangmen529100,China【Abstract】ObjectiveTostudytheapplicationofproximalfemuranatomiclockingplatewithminimallyinvasivepercu—taneousplateosteosynthesis(MIPPO)techniquesinthetreatmentofsenileosteoporosiscurativeeffectofintertrochantericfrac—turesinelde
7、rlypatients.MethodsWehavetreated56elderlypatientsofsenileosteoporosisintertrochanteriefracturesinDe—cember2009toJune2013,including35maleand21femalecases,aged76~94,theaverageof81.Allpatientswereappliedintheproximalfemuranatomiclockingplatewith