摘要
目的探讨股骨近端防旋髓内针(proximal femoral nail anti-rotation,PFNA)治疗股骨转子间伴或不伴外侧壁骨折的临床疗效。方法选取2011年8月—2014年8月于我院采取PFNA治疗股骨转子间患者98例。按照术前CT三维重建图像观察,分为A组(伴外侧壁骨折组)49例,B组(不伴外侧壁骨折组)49例,对比两组患者的临床疗效。结果手术后,外侧壁未骨折组的手术时间和住院天数明显小于外侧壁骨折组,且外侧壁未骨折组的术中出血量明显小于外侧壁骨折组,外侧壁骨折组的部分负重时间、完全负重时间和骨折愈合时间明显高于外侧壁未骨折组(P<0.05)。结论对于股骨转子间同时伴外侧壁骨折的患者应当结合CT三维重建技术,具有较高的临床推广和应用价值。
Objective To investigate the clinical effect of proximal femoral nail anti-rotation（PFNA） in treatment of femoral intertrochanteric fracture with or without lateral wall fracture. Methods Ninety-eight patients with femoral intertrochanteric fracture undergoing PFNA in our hospital from August 2011 to August 2014 were selected. According to preoperative observation of CT three-dimensional reconstruction imaging, patients with lateral wall fracture were divided into group A, and those without lateral wall fracture were divided into group B, with 49 patients in each group. The clinical efficacy was compared between two groups. Results After treatment, the operation time and hospitalization time in group B was significantly shorter than that in group A. During operation, the volume of bleeding in group B was significantly fewer than that in group A. The partial and complete weight-bearing time and healing time in group A was significantly longer than that in group B （P〈0.05）. Conclusion CT three-dimensional reconstruction technology has a higher clinical value for femoral intertrochanteric fracture complicated with lateral wall fracture.
出处
《外科研究与新技术》
2016年第1期35-37,共3页
Surgical Research and New Technique
关键词
股骨近端防旋髓内针
股骨转子间
外侧壁骨折
proximal femoral nail anti-rotation
Femoral intertrochanteric
Lateral wall fracture
