摘要
目的探讨采用加长型防旋股骨近端髓内钉(PFNA)治疗骨质疏松性股骨转子下骨折的临床效果。方法对该院骨科2011年7月—2013年12月收治的80例确诊为骨质疏松性股骨转子下骨折患者的手术及术后随访资料进行回顾性分析,其中采用股骨近端髓内钉(PFN)治疗的有32例患者(PFN组)、采用加长型PFNA治疗的有48例患者(PFNA组),对二组患者的围术期指标、术后髋关节功能恢复情况进行比较分析。结果 PFNA组的术中出血量(278.9±86.3)ml、骨折愈合时间(12.5±2.0)周均显著的低于PFN组的术中出血量(371.5±95.0)ml、骨折愈合时间(13.9±2.2)周(P<0.05)。术后第六周PFNA组与PFN组的Harris评分差异无统计学意义(P>0.05),术后3个月、6个月及末次随访PFNA组的Harris评分均显著的高于PFN组(P<0.05)。末次随访PFNA组的髋关节功能优良率(95.83%)显著的高于PFN组的髋关节功能优良率(81.25%)(P<0.05)。PFNA组患者的手术并发症率(0%)显著的低于PFN组的(9.38%)(χ2=4.675,P=0.031<0.05)。结论 PFNA治疗骨质疏松性股骨转子下骨折具有疗效可靠,术中出血量少,术后恢复时间短、并发症少的优点。
Objective To investigate the clinical effect of the treatment of osteoporotic femoral intertrochanteric fractures with extended proximal femoral nail（PFNA）.Methods A retrospectively analysis was performed on the surgery data and follow-up data of 80 cases diagnosed as osteoporotic femoral intertrochanteric fracture patients from July 2011 to Decembe 2013 in author＇s hospital,among them,32 patients were treated with the proximal femoral nail（PFN group）,other 48 patients treated with long PFN（PFNA group）.The two groups of patients with peri operative indices,postoperative hip function recovery were compared.Results Intraoperative hemorrhage volume（27.89＋86.3）ml,the fracture healing time（12.5＋2.0）weeks in the PFNA group were significantly below than the PFN group of intraoperative bleeding（371.5＋9.5）ml,fracture healing time of（13.9＋2.2）weeks（P 〈0.05）.There was no significant difference in Harris score between PFN group and PFNA group at sixth weeks after operation（P 〉0.05）,and the Harris score of PFN group was significantly higher than that in group PFNA（P 〈0.05）after third months,6 months and last follow-up.The excellent rate of hip joint function（95.83%）in the PFNA group was significantly higher than that in the PFN group（81.25%）（P 〈0.05）.The complication rate（0%）of PFNA group was significantly lower than that of PFN group（9.38%）（χ2=4.675,P=0.031）.Conclusion PFNA is a good method in the treatment of osteoporotic femoral intertrochanteric fractures with reliable efficacy,less bleeding,shorter postoperative recovery time,the advantages of less complications.
出处
《中国煤炭工业医学杂志》
2015年第11期1877-1881,共5页
Chinese Journal of Coal Industry Medicine
基金
山东省自然科学基金(编号:ZR2013HQ064)
