摘要
目的探讨动力髋螺钉(DHS)、股骨近端髓内钉(PFN)、Gamma钉治疗股骨粗隆间骨折临床疗效。方法对120例股骨粗隆间骨折的患者分为三组,分别行DHS内固定、Gamma钉内固定和PFN内固定,分析并比较三组患者术后的疗效。结果 PFN组和Gamma钉组的住院时间、手术时间、出血量都优于DHS组,统计分析显示有统计学意义(P<0.05);DHS组术后髋关节功能恢复优良率为85%,PFN组优良率为95%,Gamma钉组优良率为92.5%;PFN组和Gamma钉族分别与DHS组比较差异有统计学意义(P<0.05),而PFN组与Gamma钉组比较差异无统计学意义(P>0.05)。术后并发症发生率DHS组为10%;Gamma钉组为7.5%;PFN组全部一期愈合,无并发症。PFN组分别与DHS组、Gamma钉比较差异有统计学意义(P<0.05),而DHS组与Gamma钉组比较差异无统计学意义(P>0.05)。结论股骨近端髓内钉(PFN)以创伤小、功能恢复好、术后并发症少的优点,可作为治疗股骨粗隆间骨折手术治疗的首选方式。
Objective To investigate the dynamic hip screw（DHS）,proximal femoral nail（PFN）,Gamma nail in treatment of intertrochanteric fractures of clinical efficacy.Methods Retrospective review of 120 cases of intertrochanteric fractures were divided into three groups,each line of DHS fixation,Gamma nail and PFN fixation,analyze and compare the efficacy of three groups of patients.Results PFN group and the Gamma nail group of hospital stay,operative time,blood loss are better than the DHS group,statistical analysis showed statistically significant（P0.05）;DHS group of hip function was excellent recovery of 85% PFN group of excellent and good rate 95%,Gamma nail group of excellent and good rate 92.5%;PFN group and the Gamma nail and DHS ethnic group differences were statistically significant（P0.05）,while the PFN group and the Gamma nail group difference was not statistically significance（P0.05）.The incidence of postoperative complications DHS group,10%;Gamma nail group,7.5%;PFN group of all one healed without complications.PFN and DHS groups respectively,Gamma nail statistically significant difference（P0.05）,while the DHS group and the Gamma nail group difference was not statistically significant（P0.05）.Conclusion The proximal femoral nail（PFN） to trauma,functional recovery,and the advantages of fewer complications,can be used as the treatment of intertrochanteric fractures of the first choice of surgical treatment.
出处
《当代医学》
2011年第4期87-88,共2页
Contemporary Medicine
