摘要
目的探讨股骨粗隆间骨折(IFF)患者采用股骨近端防旋髓内钉(PFNA)与动力髋螺钉(DHS)两种治疗方法的临床疗效。方法将102例IFF患者随机分为PFNA组和DHS组,各51例。PFNA组采用PFNA治疗,DHS组采用DHS治疗,比较两组手术情况及并发症发生率。结果与DHS组比较,PFNA组X线暴露次数较多,术中出血量较少,术后下床时间、住院天数及骨折愈合时间较短,切口长度较短(均为P<0.01);两组手术时间和Harris法髋关节功能评分比较差异无统计学意义(P>0.05)。两组并发症发生率比较差异无统计学意义(P>0.05);PFNA组肢体缩短情况优于DHS组(P<0.01)。结论 PFNA治疗IFF具有明显优势,其手术操作简单,术中出血少,术后恢复快,是一种安全有效的治疗方法,值得临床推广应用。
Objective To explore the clinical effects of the two treatment methods with PFNA and DHS in the treatment of in- tertrochanteric femur fractures （IFF）. Methods One hundred and two cases with IFF, according to the methods of treatment, were e- venly divided into PFNA group in which the patients received PFNA treatment and DHS group in which the patients received DHS treat- ment. The operations and complications of the patients in both groups were compared. Results Compared with the PFNA group, the patients in the DHS group received more of exposure the X-ray; ha^d less blood loss, shorther postoperative ambulation time, hospitaliza- tion days, fractures healing time and cut. There was no statistical differences in the operation time, Harris coxa joint function scores and complication incidence （ P 〉 0.05 ）. There was no statistical significance in complication incidence rate （ P 〉 0.05 ）. The limps short- ening of the patients in the PFNA group was better than that of the patients in the DHS group （ P 〈 0.01 ）. Conclusion PFNA treat- ment which has obvious advantages of simple operation,less operative blood loss and fewer complications is a safe and effective treat- ment and is worthy of clinical application.
出处
《白求恩军医学院学报》
2013年第3期199-201,共3页
Journal of Bethune Military Medical College
