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两种髓内钉治疗超高龄患者股骨粗隆间骨折的疗效比较 被引量:2

Efficacy comparison of two kinds of intramedullary nail on elderly patients with intertrochanteric fractures
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摘要 目的:比较防旋股骨近端髓内钉(PFNA)与动力髋螺钉(DHS)治疗超高龄患者股骨粗隆间骨折的临床疗效。方法收集2015年1月至2016年1月股骨粗隆间骨折超高龄患者116例,依据术式分为两组。36例患者给予 PFNA 治疗为 PFNA 组,80例患者则给予 DHS 治疗为 DHS 组,比较两组患者手术指标、髋关节功能恢复及治疗效果。结果 PFNA 组切口长度、术中出血量、手术时间、住院时间与愈合时间低于 DHS 组,差异有统计学意义(P <0.05);PFNA 组 Harris 评分[(89.0±4.6)分]高于 DHS 组[(82.7±5.1)分],差异有统计学意义(P0.05);PFNA 组优良率为91.67%(33/36),高于 DHS 组的73.75%(59/80),差异有统计学意义(P <0.05)。PFNA 组并发症发生率为1.25%(1/36),低于 DHS 组的16.25%(13/80),差异有统计学意义(P <0.05)。结论 PFNA 治疗高龄患者股骨粗隆间骨折术后恢复更快,安全性更高。 Objective To compare the efficacy of proximal femoral nail antirotation(PFNA)and dynamic hip screw(DHS)on elderly patients with intertrochanteric fractures. Methods From January 2015 to January 2016,116 elderly patients with intertrochanteric fractures were collected,and they were divided into the two groups according to techniques. PFNA group(36 cases)was treated with PFNA treatment,then DHS(80 cases)group was give DHS treatment. The operation indexes,hip joint function recovery and treatment effects in the two groups were compared. Results The oral surgery length, blood loss,operative time,length of stay and the healing time of the PFNA group were lower than those of the DHS group,the differences were significant(P 〈 0. 05). Harris scores of the PFNA group(89. 0 ± 4. 6)was higher than that of the DHS group(82. 7 ± 5. 1),the difference was significant(P 〈 0. 05). The effect fine rate of the PFNA group was 91. 67%(33 / 36),and which was higher than that of the DHS group[73. 75%(59 / 80)];the complication rate was 1. 25%(1 / 36)of the PFNA group,which was lower than the of the DHS group[16. 25%(13 / 80)],the differences were significant( P 〈 0. 05). Conclusion The recovery PFNA in treatment of intertrochanteric fracture is faster,and the security is higher.
作者 吕海鸥
出处 《中国实用医刊》 2016年第24期58-60,共3页 Chinese Journal of Practical Medicine
关键词 防旋股骨近端髓内钉 动力髋螺钉 股骨粗隆间骨折 Proximal femoral nail antirotation Dynamic hip screw Intertrochanteric fracture
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