股骨干骨折合并同侧股骨颈骨折的手术治疗

股骨干骨折合并同侧股骨颈骨折的手术治疗

张登峰

【期刊名称】《中国继续医学教育》 【年(卷),期】2015(000)006

【摘要】Objective To analyze femoral fracture merger ipsilateral femoral neck fracture surgery.Methods To retrospectively analyze 12 patients data and compare 2 surgical operation situations.Results Combination therapy and single patients with surgical treatment of injury to the operation time, operation time, intraoperative blood loss, femoral fracture healing time differences statistically signiifcant (P<0.05). Conclusion It should be united in control severe trauma or elective surgical procedures based on emergency surgery, according femoral fractures risk, corresponding fixation will be selected.%目的：分析股骨干骨折合并同侧股骨颈骨折手术治疗特点。方法回顾性分析12例患者临床资料，对比单一术式与联合术式手术情况。结果联合术式股骨干骨折部位下段2例、中段6例，粉碎性骨折7例、横行及短斜行骨折1例，股骨颈骨折Ⅱ型1例、Ⅲ型7例，单一术式治疗股骨干骨折中段4例，粉碎性骨折1例、横行及短斜行骨折3例，股骨颈骨折Ⅱ型2例、Ⅲ型2例；联合治疗、单一术式治疗受伤至手术时间、患者手术时间、术中出血量、股骨干骨折愈合时间差异具有统计学意义（P＜0.05）。结论应在控制危重合并创伤基础上择期手术或急诊手术，据股骨干骨折伤情制定手术风险，选择针对性的内固定术。 【总页数】2页(60-61)