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目的 探讨急诊手术与择期手术行髓内固定治疗对股骨转子间骨折的临床疗效的影响.方法 回顾性分析2013年1月-2015年12月期间北京市红十字会急诊抢救中心手术治疗的168例转子间骨折患者资料.按手术时机分为急诊组(伤后24 h内手术)46例,择期组(伤后24 h以后手术)122例.统计比较两组患者住院期间并发症发生率、骨折愈合时间、住院时间、术后并发症及死亡率.结果 两组患者并发症包括表浅切口感染、脂肪液化、肺部感染、褥疮、深静脉血栓、术后再骨折、内固定失效等,差异无统计学意义;但急诊手术组总并发症发生率小于择期组,差异有统计学意义.急诊手术组在总住院时间、手术时间、住院费用、住院期间并发症发生率均少于择期组,差异有统计学意义(P0.05).末次随访时髋关节功能:急诊手术组优16例,良2例,可1例,差1例,优良率为90.0%;择期手术组优21例,良2例,可2例,差2例,优良率为85.2%,两组比较差异无统计学意义(P>0.05).结论 急诊手术治疗老年股骨转子间骨折能缩短手术时间及住院时间,降低住院费用,减少术后并发症的发生,有利于患者早期功能锻炼,可以减少术后并发症的发生.“,”Objective Discussion on emergency operation and selective operation of intramedullary fixation on the treatment of intertrochanteric fractures. Method One hundred and sixty-eight patients with intertrochanteric fracture Between January 2013 and December 2015 were randomly divided into two groups. The Emergency department group included 46cases and all patients were oper-ated within 24 hours after injury,while in the Selective group,122 cases were enrolled and all patients received operation after 24 hours after injury.Hospital clinical indicators,the hip function scores,postoperative complications and mortality were evaluated.Result Postoperative complications of two groups of patients with complications including superficial infection, fat liquefaction, pulmonary infection, bedsore and deep vein thrombosis, postoperative fracture, internal fixation failure, the difference was not statistically significant;but the emergency surgery group the total complication rate is less than the elective group, the difference was statistically significant. The total hospitalization time in emergency surgery group the operation time, hospitalization expenses, and incidence of complications during hospitalization were less than the elective group,The difference was statistically significant (P 0.05).Emergency surgery group were excellent in 16 cases, good in 2 cases, 1 cases, poor in 1 cases, excellent and good rate was 90%. 21 cases were excellent, good in 2 cases, poor in 2 cases, excellent and good rate was 85.2%, there was no significant difference between the two groups. Conclusion Emergency operationt of elderly intertrochanteric fractures can shorten the operation time and hospital stay,reduce intraoperative blood loss and the cost of hospitalization, reduce the incidence of postop-erative complications,and it is beneficial to early functional exercises.