{"id":39930,"date":"2024-08-20T05:10:36","date_gmt":"2024-08-20T05:10:36","guid":{"rendered":"https:\/\/zydq.1006ss.com\/?p=39930"},"modified":"2024-08-20T05:10:36","modified_gmt":"2024-08-20T05:10:36","slug":"%e9%98%b4%e6%80%a7%e6%94%af%e6%92%91-vs-%e9%98%b3%e6%80%a7%e6%94%af%e6%92%91%ef%bc%9f%e9%ab%8b%e9%83%a8%e9%aa%a8%e6%8a%98%e9%9d%9e%e8%a7%a3%e5%89%96%e5%a4%8d%e4%bd%8d%e9%97%ae%e9%a2%98%e8%82%a1","status":"publish","type":"post","link":"http:\/\/zydq.1006ss.com\/?p=39930","title":{"rendered":"\u9634\u6027\u652f\u6491 VS \u9633\u6027\u652f\u6491\uff1f\u9acb\u90e8\u9aa8\u6298\u975e\u89e3\u5256\u590d\u4f4d\u95ee\u9898|\u80a1\u9aa8|\u80a1\u9aa8\u9888|\u9634\u6027|\u9686\u95f4|\u9aa8\u6298"},"content":{"rendered":"<p>\u524d\u8a00\uff1a<\/p>\n<p>\u80a1\u9aa8\u8f6c\u5b50\u95f4\u9aa8\u6298\/\u80a1\u9aa8\u9888\u9aa8\u6298\u95ed\u5408\u590d\u4f4d\uff0c\u5728\u65e0\u6cd5\u5c06\u9aa8\u6298\u8fd1\u4f3c\u89e3\u5256\u590d\u4f4d\u60c5\u51b5\u4e0b\uff0c\u9aa8\u6298\u65ad\u7aef\u5b58\u5728\u9634\u6027\/\u9633\u6027\u652f\u6491\u5982\u4f55\u5f71\u54cd\u9aa8\u6298\u6108\u5408\u4e0e\u529f\u80fd\u6062\u590d\uff1f<\/p>\n<p>\u4e00. \u9634\u6027\/\u9633\u6027\u652f\u6491\u7406\u8bba<\/p>\n<p>Hip fracture<\/p>\n<p>\u57282013\u5e74\uff0cGotfried\u5728\u80a1\u9aa8\u9888\u9aa8\u6298\u975e\u89e3\u5256\u590d\u4f4d\u4e2d\u9996\u6b21\u63d0\u51fa\u9633\u6027\u652f\u6491\u4e0e\u9634\u6027\u652f\u6491\u7684\u6982\u5ff5\uff1a<\/p>\n<p>\u6309Gotfried\u7684\u5b9a\u4e49\uff0c\u5176\u5c06\u80a1\u9aa8\u9888\u5934\u9888\u9aa8\u5757\u5185\u4fa7\u76ae\u8d28\u4f4d\u4e8e\u8fdc\u7aef\u80a1\u9aa8\u5e72\u5185\u4fa7\u76ae\u8d28\u7684\u5185\u4fa7\uff0c\u5b9a\u4e49\u4e3a\u9634\u6027\u652f\u6491\uff1b \u5c06\u80a1\u9aa8\u9888\u5934\u9888\u9aa8\u5757\u5185\u4fa7\u76ae\u8d28\u4f4d\u4e8e\u8fdc\u7aef\u80a1\u9aa8\u5e72\u5185\u4fa7\u76ae\u8d28\u7684\u5916\u4fa7\uff0c\u5b9a\u4e49\u4e3a\u9633\u6027\u652f\u6491\uff1a<\/p>\n<p>\u80a1\u9aa8\u9888\u9aa8\u6298\u590d\u4f4d\u7684\u9634\u6027\u652f\u6491<\/p>\n<p>\u80a1\u9aa8\u9888\u9aa8\u6298\u590d\u4f4d\u7684\u9633\u6027\u652f\u6491<\/p>\n<p>Gotfried\u540c\u65f6\u63d0\u51fa\u4e86\u80a1\u9aa8\u9888\u9aa8\u6298\u8fbe\u5230\u9633\u6027\u652f\u6491\u7684\u590d\u4f4d\u65b9\u6cd5\uff0c\u5305\u62ec\u4e09\u4e2a\u6b65\u9aa4\uff1a<\/p>\n<p>1. Disimpaction\uff08\u89e3\u9664\u9aa8\u6298\u7aef\u5d4c\u63d2\uff09\u3002\u5c06\u60a3\u8005\u7f6e\u5165\u7275\u5f15\u5e8a\uff0c\u901a\u8fc7\u7275\u5f15\u88c5\u7f6e\uff0c\u8fdb\u884c\u8f74\u5411\u548c\u5916\u4fa7\u7275\u5f15\uff0c\u901a\u8fc7\u9010\u6e10\u589e\u52a0\u8db3\u90e8\u7275\u5f15\uff0c\u540c\u65f6\u91c7\u7528\u5e03\u5355\u5305\u88f9\u5927\u817f\u8fd1\u7aef\u9010\u6b65\u5411\u5916\u4fa7\u7275\u5f15\uff0c\u8fbe\u5230\u89e3\u9664\u9aa8\u6298\u7aef\u5d4c\u63d2\u7684\u76ee\u7684\u3002\u5982\u4e0b\u56fe\u6240\u793a\uff1a<\/p>\n<p>2. Reduction\uff08\u590d\u4f4d\uff09\u3002\u5728\u89e3\u9664\u9aa8\u6298\u7aef\u5d4c\u63d2\u540e\uff0c\u53ef\u901a\u8fc7\u60a3\u80a2\u5185\u6536\u3001\u5185\u65cb\u8fbe\u5230\u590d\u4f4d\uff0c\u5728\u6b63\u4f4d\u4e0a\u53ef\u8fbe\u5230\u9633\u6027\u652f\u6491\uff0c\u540c\u65f6\u5e94\u6ce8\u610f\u4fa7\u4f4d\u5e94\u4fdd\u8bc1Garden\u6307\u6570\u63a5\u8fd1180\u00b0\uff0c\u5982\u4fa7\u4f4dGarden\u6307\u6570\u5c0f\u4e8e160\u00b0\uff0c\u5e94\u8fdb\u884c\u5207\u5f00\u590d\u4f4d\u3002<\/p>\n<p>3.Reconstruction\uff08\u91cd\u5efa\uff09\u3002\u5728\u8fbe\u5230\u826f\u597d\u590d\u4f4d\u540e\uff0c\u53ef\u653e\u677e\u7275\u5f15\uff0c\u63d2\u5165\u5185\u56fa\u5b9a\u88c5\u7f6e\u3002\u5728\u80a1\u9aa8\u9888\u8fbe\u5230\u9633\u6027\u652f\u6491\u60c5\u51b5\u4e0b\uff0c\u9888\u5e72\u89d2\u5e94\u5927\u4e8e135\u00b0\uff0c\u540c\u65f6\u4fa7\u4f4dGarden\u5e94180\u00b0\u3002<\/p>\n<p>\u4e8c.\u80a1\u9aa8\u9888\u9aa8\u6298\u9634\u6027\/\u9633\u6027\u652f\u6491\u7684\u7597\u6548\u5dee\u5f02<\/p>\n<p>Hip fracture<\/p>\n<p>Gotfried\u7684\u7814\u7a76\u8868\u660e\uff0c\u4e0e\u9634\u6027\u652f\u6491\u76f8\u6bd4\uff0c\u80a1\u9aa8\u9888\u9aa8\u6298\u9633\u6027\u652f\u6491\u53ef\u4ee5\u83b7\u5f97\u66f4\u597d\u7684\u529f\u80fd\u6062\u590d\uff0c\u5e76\u4f9d\u636e\u672f\u4e2d\u5f71\u50cf\u7247\u60c5\u51b5\uff0c\u5c06\u80a1\u9aa8\u9888\u9aa8\u6298\u7684\u590d\u4f4d\u7a0b\u5ea6\u5206\u4e3a\u4e09\u7ea7\uff1a<\/p>\n<p>\u5373\uff1a<\/p>\n<ul>\n<li>\n<p>Optimal\uff08\u6700\u4f73\uff09\uff1a \u6b63\u4f4d\u4e0a\u9633\u6027\u652f\u6491\uff0c\u9888\u5e72\u89d2\uff1e135\u00b0\uff0c\u4fa7\u4f4d\u4e0a180\u00b0\u5bf9\u7ebf\uff1b<\/p>\n<\/li>\n<li>\n<p>Satisfactory\uff08\u6ee1\u610f\uff09\uff1a \u6b63\u4f4d\u4e0a\u9633\u6027\u652f\u6491\uff0c\u9888\u5e72\u89d2\uff1e135\u00b0\uff0c\u4fa7\u4f4d\u4e0a160-180\u00b0\u5bf9\u7ebf\uff1b<\/p>\n<\/li>\n<li>\n<p>Poor\uff08\u5dee\uff09\uff1a \u6b63\u4f4d\u4e0a\u9634\u6027\u652f\u6491\uff0c\u4fa7\u4f4d\u4e0a\u9aa8\u6298\u5bf9\u7ebf\u5c0f\u4e8e160\u00b0\u3002<\/p>\n<\/li>\n<\/ul>\n<p>\u56fd\u5185\u6709\u5b66\u8005\u5bf9\u80a1\u9aa8\u9888\u9aa8\u6298\u7684\u9634\u6027\u652f\u6491\u4e0e\u9633\u6027\u652f\u6491\u8fdb\u884c\u4e86\u751f\u7269\u529b\u5b66\u5206\u6790\uff0c\u53d1\u73b0\u9633\u6027\u652f\u6491\u5b58\u5728\u751f\u7269\u529b\u5b66\u4f18\u52bf\uff0c\u4e3a\u80a1\u9aa8\u9888\u5728\u975e\u89e3\u5256\u590d\u4f4d\u4e0b\u5c3d\u53ef\u80fd\u8fbe\u5230\u9633\u6027\u652f\u6491\u63d0\u4f9b\u4e86\u7406\u8bba\u57fa\u7840\u3002<\/p>\n<p>\u4e09. \u7c97\u9686\u95f4\u9aa8\u6298\u7684\u975e\u89e3\u5256\u590d\u4f4d<\/p>\n<p>Hip fracture<\/p>\n<p>\u5728\u7c97\u9686\u95f4\u6298\u7684\u590d\u4f4d\u4e2d\uff0c\u9633\u6027\u652f\u6491\u4e0e\u9634\u6027\u652f\u6491\u7684\u6982\u5ff5\u6b63\u597d\u4e0e\u80a1\u9aa8\u9888\u5904\u76f8\u53cd\u3002<\/p>\n<p>\u5373\uff1a\u8fd1\u7aef\u5934\u9888\u9aa8\u5757\u5185\u4fa7\u76ae\u8d28\u4f4d\u4e8e\u8fdc\u7aef\u80a1\u9aa8\u5e72\u5185\u4fa7\u76ae\u8d28\u7684\u5185\u4fa7\uff0c\u4e3a\u9633\u6027\u652f\u6491\uff1b\u8fd1\u7aef\u5934\u9888\u9aa8\u5757\u5185\u4fa7\u76ae\u8d28\u4f4d\u4e8e\u8fdc\u7aef\u80a1\u9aa8\u5e72\u5185\u4fa7\u76ae\u8d28\u7684\u5916\u4fa7\uff0c\u4e3a\u9634\u6027\u652f\u6491\u3002<\/p>\n<p>2014\u5e74\uff0c\u4e0a\u6d77\u6768\u6d66\u533b\u9662\u5f20\u4e16\u6c11\u6559\u6388\u628a \u9633\u6027\u652f\u6491\u79f0\u4e3a\u201c\u6b63\u6027\u652f\u6491\u201d \uff0c \u9634\u6027\u652f\u6491\u79f0\u4e3a\u201c\u8d1f\u6027\u652f\u6491\u201d \u3002<\/p>\n<p>\u4ed6\u8ba4\u4e3a\u6b63\u6027\u652f\u6491\u5934\u9888\u9aa8\u5757\u7ecf\u8fc7\u6709\u9650\u7684\u6ed1\u52a8\u5373\u80fd\u83b7\u5f97\u4e0e\u80a1\u9aa8\u5e72\u7684\u63a5\u89e6\u7825\u7740\uff0c \u8fbe\u5230\u4e8c\u6b21\u7a33\u5b9a\u5750\u5b9e\uff0c\u4e3a\u9aa8\u6298\u6108\u5408\u521b\u9020\u826f\u597d\u7684\u529b\u5b66\u6761\u4ef6\u3002<\/p>\n<p>\u7c97\u9686\u95f4\u9aa8\u6298\u7684\u6b63\u6027\u652f\u6491\u4e0e\u8d1f\u6027\u652f\u6491\u3002<\/p>\n<p>\u4ed6\u4eec\u8ba4\u4e3a\uff0c\u83b7\u5f97\u5185\u4fa7\u76ae\u8d28\u6b63\u6027\u652f\u6491\u590d\u4f4d\uff0c \u5728\u5f71\u50cf\u5b66\u4e0a\u6709\u4ee5\u4e0b\u7279\u70b9:<\/p>\n<ul>\n<li>\n<p>\u80a1\u9aa8\u5e72\u7684\u5185\u4fa7\u76ae\u8d28\u4f4d\u4e8e\u5934\u9888\u9aa8\u5757\u5185\u4fa7\u76ae\u8d28\u7684\u5916\u4e0b\u65b9;<\/p>\n<\/li>\n<li>\n<p>\u5934\u9888\u9aa8\u5757\u8f7b\u5ea6\u5916\u5c55\uff0c \u5373\u9888\u5e72\u89d2\u7565\u5927\u4e00\u4e9b;<\/p>\n<\/li>\n<li>\n<p>\u4fa7\u4f4d X \u7ebf\u7247\u5934\u9888\u9aa8\u5757\u7684\u524d\u4fa7\u76ae\u8d28\u4e0e\u80a1\u9aa8\u5e72\u524d\u4fa7\u76ae\u8d28\u9700\u76f8\u4e92\u7825\u4f4f\u3002<\/p>\n<\/li>\n<\/ul>\n<p>\u4ece\u4e34\u5e8a\u5b9e\u8df5\u6765\u770b\uff0c \u63d2\u5165\u5934\u9ad3\u9489\u6cbb\u7597\u80a1\u9aa8\u7c97\u9686\u95f4\u9aa8\u6298\uff0c \u5f88\u5bb9\u6613\u83b7\u5f97\u5934\u9888\u9aa8\u5757\u4e0e\u80a1\u9aa8\u5e72\u7684\u6b63\u6027\u652f\u6491\u590d\u4f4d\u3002<\/p>\n<p>\u8fd9\u662f\u56e0\u4e3a\uff0c\u7275\u5f15\u5bf9\u9aa8\u6298\u7aef\u6709\u5f20\u5f00\u4f5c\u7528\uff0c\u80a1\u9aa8\u5e72\u5f88\u5bb9\u5c31\u4f4d\u4e8e\u5934\u9888\u9aa8\u5757\u7684\u8fdc\u4fa7; \u800c\u63d2\u5165\u5934\u9ad3\u9489\uff0c\u5728\u5185\u4fa7\u7684\u5934\u9888\u9aa8\u5757\u4e0e\u5916\u4fa7\u7684\u7c97\u9686\u5916\u4fa7\u58c1\u4e4b\u95f4\u6709\u6491\u5f00\u4f5c\u7528(wedge-open effect) \uff0c\u5916\u4fa7\u58c1\u8fde\u5e26\u80a1\u9aa8\u5e72\u5411\u5916\u4fa7\u79fb\u52a8\u6491\u5f00\uff0c\u4f7f\u80a1\u9aa8\u5e72\u5185\u4fa7\u76ae\u8d28\u4f4d\u4e8e\u5934\u9888\u9aa8\u5757\u5185\u4fa7\u76ae\u8d28\u7684\u5916\u4fa7\uff0c \u5373\u83b7\u5f97\u6b63\u6027\u652f\u6491\u7684\u6548\u679c\u3002<\/p>\n<p>\u56db. \u6954\u5f62\u6548\u5e94<\/p>\n<p>Hip fracture<\/p>\n<p>\u5728\u80a1\u9aa8\u7c97\u9686\u95f4\u9aa8\u6298\u63d2\u5165\u4e3b\u9489\u65f6\uff0c\u53ef\u80fd\u5bfc\u81f4\u5934\u9888\u9aa8\u5757\u7684\u5185\u7ffb\u548c\u8fdc\u7aef\u80a1\u9aa8\u5e72\u7684\u5916\u79fb\uff0c\u5373\u6954\u5f62\u6548\u5e94\uff08Wedge-effect\uff09\u3002<\/p>\n<p>\u6954\u5f62\u6548\u5e94<\/p>\n<p>\u56e0\u6b64\uff0c\u5728\u590d\u4f4d\u8fc7\u7a0b\u4e2d\uff0c\u53ef\u4ee5\u8003\u8651\u91c7\u7528\u9aa8\u94b3\u5939\u6301\u9aa8\u6298\u65ad\u7aef\uff0c\u6216\u8005\u91c7\u7528\u7a7a\u5fc3\u94bb\u5934\u5f00\u5b54\u7b49\u65b9\u6cd5\uff0c\u907f\u514d\u6954\u5f62\u6548\u5e94\u7684\u53d1\u751f\u3002<\/p>\n<p>\u4e94. \u603b\u7ed3<\/p>\n<p>Hip fracture<\/p>\n<p>\u5728\u65e0\u6cd5\u8fbe\u5230\u9acb\u90e8\u9aa8\u6298\u89e3\u5256\u590d\u4f4d\u524d\u63d0\u4e0b\uff0c\u5982\u4f55\u6700\u5927\u7a0b\u5ea6\u51cf\u5c11\u5e76\u53d1\u75c7\uff0c\u8fbe\u5230\u9aa8\u6298\u6108\u5408\u53ca\u529f\u80fd\u5eb7\u590d\u76ee\u7684\uff0c\u662f\u4e34\u5e8a\u9aa8\u6298\u6cbb\u7597\u7684\u8ffd\u6c42\u3002 \u80a1\u9aa8\u9888\u3001\u80a1\u9aa8\u7c97\u9686\u95f4\u9aa8\u6298\u9633\u6027\u652f\u6491\u8fbe\u5230\u7684\u7a33\u5b9a\u7ed3\u6784\uff0c\u4e3a\u9aa8\u6298\u6108\u5408\u63d0\u4f9b\u4e86\u7406\u8bba\u57fa\u7840\u3002 \u53ef\u4f5c\u4e3a\u9acb\u90e8\u9aa8\u6298\u7684\u53ef\u63a5\u53d7\u590d\u4f4d\u3002<\/p>\n<p>\u6765\u6e90\uff1a\u9aa8\u79d1\u9752\u5e74<\/p>\n<p>\u4f5c\u8005\uff1aDr.Zhang<\/p>\n<p>\u58f0\u660e\uff1a\u672c\u6587\u5185\u5bb9\u53ca\u56fe\u7247\u5747\u4e3a\u8f6c\u8f7d\u5185\u5bb9\uff0c\u5982\u6d89\u53ca\u7248\u6743\u95ee\u9898\u8bf7\u76f8\u5173\u6743\u5229\u4eba\u53ca\u65f6\u4e0e\u6211\u4eec\u8054\u7cfb\uff0c\u6211\u4eec\u4f1a\u7acb\u5373\u5904\u7406\u914d\u5408\u91c7\u53d6\u4fdd\u62a4\u63aa\u65bd\uff0c\u4ee5\u4fdd\u969c\u53cc\u65b9\u5229\u76ca\u3002<\/p>\n<p>\u4e3a\u4ec0\u4e48\u8981\u6295\u7a3f\uff1f\u662f\u4e3a\u4e86\u8bb0\u5f55\u81ea\u5df1\u7684\u533b\u5b66\u4e4b\u8def\uff01\u662f\u4e3a\u4e86\u4e0e\u66f4\u591a\u7684\u9aa8\u79d1\u540c\u9053\u4ea4\u6d41\u5206\u4eab\uff01\u662f\u4e3a\u4e86\u8ba9\u66f4\u591a\u7684\u4eba\u770b\u5230\u800c\u53d7\u76ca\uff01\u8ba9\u4f20\u64ad\u77e5\u8bc6\u6210\u4e3a\u4e00\u79cd\u4e60\u60ef\uff0c\u662f\u201c\u7396\u7396\u9aa8\u79d1\u201d\u8ba9\u4f60\u6295\u7a3f\u7684\u7406\u7531\uff01<\/p>\n","protected":false},"excerpt":{"rendered":"<p>\u524d\u8a00\uff1a \u80a1\u9aa8\u8f6c\u5b50\u95f4\u9aa8\u6298\/\u80a1\u9aa8\u9888\u9aa8\u6298\u95ed\u5408\u590d\u4f4d\uff0c\u5728\u65e0\u6cd5\u5c06\u9aa8\u6298\u8fd1\u4f3c\u89e3\u5256\u590d\u4f4d\u60c5\u51b5\u4e0b\uff0c\u9aa8\u6298 &hellip; <a href=\"http:\/\/zydq.1006ss.com\/?p=39930\">\u7ee7\u7eed\u9605\u8bfb <span 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