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PFNA微创治疗高龄不稳定股骨粗隆间骨折临床观察 被引量:12

Clinical Observation of PFNA Minimally Invasive Treatment for Elderly Patients with Unstable Intertrochanteric Fractures
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摘要 目的:探析PFNA微创法对高龄不稳定性股骨粗隆间骨折患者的临床效果。方法:入选112例高龄不稳定性股骨粗隆间骨折患者,随机分入两组各56例,治疗组行PFNA微创治疗,对照组行PFN法治疗,比较两组患者的手术时间、并发症、骨折愈合时间等评价疗效。结果:治疗组优良率显著高于对照组(91%vs.79%,P<0.05),并发症发生率显著低于对照组(7%vs.34%,P<0.05),预后显著优于对照组(P<0.05)。结论:采用微创PFNA治疗高龄股骨粗隆间骨折,容易操作,愈合较快,疗效确切,感染等并发症少,值得临床推广。 Objective:To study the clinical effect of PFNA minimally invasive treatment for elderly pa-tients with unstable intertrochanteric fractures .Method:112 cases of elderly patients with unstable femoral intertrochanteric fracture patients were randomly divided into two groups , 56 cases in each group , treatment group received PFNA therapy , the control group received PFN therapy , and then compared operation time , complications , fracture healing time and curative time of two groups .Result:The excellent rate of the treat-ment group was significantly higher than that in control group ( 91%vs 79%, P&lt;0.05 ) , the complication rate was significantly lower than that of the control group (7%vs 34%, P &lt;0.05), the prognosis was better than the control group (P &lt;0.05).Conclusion:Minimally invasive PFNA in the treatment of intertrochan-teric fractures in elderly patients is easy to operate , heal faster , curative effect is exact , with less infection or other complications , worthy of clinical application .
作者 程正亮
出处 《河北医学》 CAS 2014年第3期453-455,共3页 Hebei Medicine
关键词 微创 高龄 股骨粗隆间骨折 PFNA Minimally invasive surgery Elderly PFNA Intertrochanteric fracture
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