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脑血栓病人继发股骨颈骨折的治疗特点

Treatment Characteristics of Femoral Neck Fractures in Patients with Cerebral

作者: 专业:外科学 导师:田江宜 年度:2010 学位:硕士  院校: 中国医科大学

Keywords

Femoral neck fractures, joint replacement, cerebral thrombosis

        目的总结脑血栓病人继发股骨颈骨折的治疗特点方法我院2003年1月至2008年12月,诊治脑血栓病人继发股骨颈骨折患者21例,3例只行卧床患侧下肢皮牵引固定,3例行简单的手术钢针固定加患肢皮牵引治疗,15例行单纯双极人工股骨头置换手术治疗。对不同方法治疗结果进行比较分析。结果3例单纯皮牵引治疗患者骨折均未愈合,1例骨折1个月后病人死亡,1例骨折6个月后死亡;3例钢针固定患者骨折均未愈合,1例合并钢针断裂;15例行人工股骨头置换手术的患者,1例手术后关节腔感染,1例术后未能下地行走,余13例患者人工关节置换术后经锻练均能下地行走,可自理简单生活。结论脑血栓继发股骨颈骨折病人如身体条件许可,应选择手术创伤比较小并能早期离床活动的双极人工股骨头置换手术治疗。
    ObjectiveSummary of patients with cerebral thrombosis secondary to femoral neck fracture characteristicsMethodsFrom January 2003 to December 2008,diagnosis and treatment of cerebral thrombosis secondary to femoral neck fracture in 21 patients in our hospital, three cases:ipsilateral lower extremity skin traction bed lines fixed, three cases:routine surgical needle fixation and limb skin traction therapy,15 routine simple:bipolar hemiarthroplasty surgery. The results of different treatments were compared.ResultsThree patients treated with skin traction were not healed, one patient died after 1 month,1 patient died after 6 months; three patients treated with needle fixation in patients were not healed, one case combined needle fracture; 15 Routine artificial femoral head replacement surgery patients,1 patient suffer intra-articular infection,1 patient failed to walk,13 patients were able to walk through the proper training after the operation.ConclusionsCerebral thrombosis secondary to femoral neck fracture patients, such as physical conditions permit, should choose a relatively small surgical trauma and to an early off-bed activities, surgical treatment of bipolar artificial femoral head replacement.
        

脑血栓病人继发股骨颈骨折的治疗特点

一、摘要4-6
    中文论著摘要4-5
    英文论著摘要5
二、英文缩略语6-7
三、论文7-12
    前言7
    资料与方法7-9
    结果9-10
    讨论10-11
    结论11-12
四、本研究创新性的自我评价12-13
五、参考文献13-14
六、附录14-22
    综述14-20
    在学期间科研成绩20-21
    致谢21-22
    个人简介22
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