术前牵引对粗隆间骨折术后DVT发生的影响
[摘要] 目的 评估术前应用胫骨结节牵引对粗隆间骨折患者术后深静脉血栓形成的影响。方法 回顾粗隆间骨折患者144例，均为单侧，分为术前牵引组和未牵引组，术前牵引组采用胫骨结节牵引3～5d后手术治疗，未牵引组完成必要检查后即行手术，术后应用常规抗凝治疗，第8天行双侧多普勒超声扫描，观察深静脉血栓形成情况。结果 术前牵引组7例发现DVT形成，DVT发生率9.86％；未牵引组8例发现DVT形成，DVT发生10.96％，两组间比较差异无统计学意义（P＞0.05）。结论 术前牵引对术后DVT发生率无明显影响。
[关键词] 牵引；粗隆间骨折；深静脉血栓
[中图分类号] R683.42[文献标识码] B[文章编号] 1673-9701（2011）27-143-02
The Effect of Preoperative Traction to Incidence Rate of DVT after Intertrochanteric Fracture Operation
LI Songbai1 YAN Yihua2 DENG Qingjiang1
1.8730 Army Hospital of CAPF，Guangzhou 510800，China；2.Zhuzhou 331 Hospital，Zhuzhou 412100，China
[Abstract] Objective To evaluate the effect of preoperative tibial tubercle traction to incidence rate of DVT after intertrochanteric fracture operation. Methods All 144 intertrochanteric fracture patients we studied，all in one side，were distributed to two groups，traction group and non-traction group. The patients of traction group were operated after three to five days’ tibial tubercle traction. The patients of non-traction group were operated after necessary medical examination. Conventional anticoagulant therapy were applied to all patients. Deep venous thrombosis was detected by Doppler ultrasound at the eighth day. Results Seven patients were detected DVT after operation in traction group，and the incidence rate was 9.86%. Eight patients were detected DVT after operation in non-traction group，and the incidence rate was 10.96%. There was no significant difference between traction group and non-traction group（P＞0.05）. Conclusion It is no effect to inc...
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