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中空拉力螺钉治疗股骨颈骨折术中透视分析

肖洪 谭洪波 宋航 张怡五 高为民 王青 任小宝

局解手术学杂志2012,Vol.21Issue(4):392-394,3.
局解手术学杂志2012,Vol.21Issue(4):392-394,3.

中空拉力螺钉治疗股骨颈骨折术中透视分析

Analysis of the X-ray perspective times during close reduction and percutaneous internal fixation with cannulated screws for the treatment of femoral neck fractures

肖洪 1谭洪波 2宋航 1张怡五 1高为民 1王青 1任小宝3

作者信息

  • 1. 解放军第324医院骨科,重庆,400020
  • 2. 成都军区昆明总医院骨科,云南,昆明,650032
  • 3. 第三军医大学西南医院急救部,重庆,400038
  • 折叠

摘要

Abstract

Objective To discuss the way of reducing radiative risks for operators and patients during close reduction and percutaneous internal fixation with cannulated screws for the treatment of femoral neck fractures. Methods X-ray perspective times during the operation was retrospectively analysed on the basis of operational procedure in 64 patients with femoral neck fractures. Results In Garden Ⅰ/ Ⅱ type group, Garden Ⅲ type group and the Garden Ⅳ type group, average X-ray perspective times suffered by the operators were respectively ( 26.60 ±9.03 ),( 28.90 ±9.00 ) and( 28.90 ±12. 30 ) times, there was no statistical difference between groups;those suffered by the patients were respectively ( 34. 70 ± 9. 18 ), ( 42. 50 ± 10. 10 )and ( 46. 80 ± 12. 08 ) times, there was statistical difference between GardenⅠ/ Ⅱ type group and other group; the percentage of X-ray perspective times suffered by the operators and patients were respectively (68.50 ±6.25 )%, (62. 10±7.08 )% and ( 56.30 ±9.08 )%, has a decreasing trend, but no significant difference. Conclusion In the treatment of femoral neck fractures, the X-ray perspective times is rather large. In all groups, the percentage of X-ray perspective times suffered by the operators and patients were all more than 50% , so it is crucial for operators and patients to decrease radiative risks by reducing the X-ray perspective times during implanting three guide needles.

关键词

股骨颈骨折/中空拉力螺钉/内固定术

Key words

femoral neck fractures/ cannulated screws/ internal fixation

分类

医药卫生

引用本文复制引用

肖洪,谭洪波,宋航,张怡五,高为民,王青,任小宝..中空拉力螺钉治疗股骨颈骨折术中透视分析[J].局解手术学杂志,2012,21(4):392-394,3.

基金项目

重庆市卫生局2011年医学科研计划项目(2011-2-592) (2011-2-592)

局解手术学杂志

OACSTPCD

1672-5042

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