摘要
目的观察并比较动力髋螺钉系统(DHS)、股骨近端锁定钢板(PF-LCP)、股骨近端防旋髓內钉(PFNA)三种内固定方法治疗老年股骨转子间骨折的临床疗效。方法选取2006年10月至2014年9月于我院接受治疗的老年股骨转子间骨折患者150例为研究对象,按照治疗方法的不同分为DHS组、PF-LCP组、PFNA组,每组分别50例。比较三组的手术时间、术中出血量、术后引流量、骨折愈合时间以及Harris评分优良率。结果 PFNA组患者的手术时间、术中出血量、术后引流量、骨折愈合时间均明显优于DHS组和PF-LCP组,三组间比较差异显著,均具有统计学意义(P<0.05)。PFNA组患者术后12个月Harris评分优良率为96.0%,显著高于DHS组的84.0%和PF-LCP组的82.0%,差异具有统计学意义(P<0.05)。结论DHS、PFLCP、PFNA内固定治疗老年股骨转子间骨折均有一定效果,但PFNA明显优于DHS和PF-LCP治疗方案,适合临床推广应用。
Objective To observe and compare the clinical efficacy of internal fixation treatment for elderly intertrochanteric fractures with dynamic hip screw （DHS）, proximal femoral locking compression plate （PF-LCP） and proximal femoral nail anti-rotation （PFNA）. Methods 150 cases of elderly patients with intertrochanteric fractures treated in our hospital from October 2006 to September 2014 were selected as research subjects. According to different treatment methods, all patients were divided into DHS group, PF-LCP group and PFNA group, with 50 cases in each group. The operation time, intraoperative bleeding volume, postoperative drainage volume, fractures healing time, excellent and good rate of Harris score were compared between three groups. Results The operation time, intraoperative bleeding volume, postoperative drainage volume, fractures healing time in PFNA group were significantly better than those in DHS group and PF-LCP group （P 〈0.05）, the difference of four indices in three groups was statistical （P 〈0.05）. The excellent and good rate of Harris score in PFNA group was 96.0%, significantly higher than 84.0% in DHS group and 82.0% in PF-LCP group, the difference was statistical （P 〈0.05）. Conclusions DHS, PF-LCP, PFNA internal fixation have certain effect in treatment of elderly intertrochanteric fractures. But PFNA is superior to DHS and PF-LCP, which is suitable for clinical promotion and application.
出处
《临床医学工程》
2016年第6期741-742,共2页
Clinical Medicine & Engineering
