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[骨质疏松性骨折治疗的经济层面]

[Economic aspect of osteoporotic fracture treatment].

作者信息

Palczewski D, Dawidowski W

机构信息

Oddział Ortopedyczno-Urazowy Samodzielnego Specjalistycznego Szpitala Wojewódzkiego w Siedlcach.

出版信息

Przegl Lek. 2000;57(2):117-21.

Abstract

The authors analyzed 307 cases of osteoporotic fractures of proximal femur, distal radius and vertebral bodies treated in the Department of Orthopedics and Traumatology in Siedlce in 1997. The majority (243) of the fractures referred to the proximal femur. They were treated operatively (202) by Ender intramedullary nailing, hemialloplastics or fixation with hip screws. There were 40 patients hospitalized with the distal radius fracture, 29 of them were operated. The fractures of the vertebral bodies (24) were stabilized with Jewett brace or plaster jacket. When analyzing costs of hospital treatment of osteoporotic fractures, the authors considered the number of patients, the period of hospital stay and the number and type of surgeries. Higher costs of the therapy of osteoporotic fractures in comparison with the treatment of other cases in the orthopedic-traumatic ward were proven.

摘要

作者分析了1997年在谢德尔采创伤骨科治疗的307例股骨近端、桡骨远端和椎体骨质疏松性骨折病例。大多数(243例)骨折发生在股骨近端。其中202例接受了手术治疗,采用了恩德勒髓内钉固定、半关节成形术或髋螺钉固定。有40例桡骨远端骨折患者住院,其中29例接受了手术。椎体骨折(24例)采用朱伊特支具或石膏背心固定。在分析骨质疏松性骨折的住院治疗费用时,作者考虑了患者数量、住院时间以及手术的数量和类型。结果证明,与创伤骨科病房其他病例的治疗相比,骨质疏松性骨折的治疗费用更高。

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