摘要
目的探讨不稳定性股骨转子间骨折不同内固定方式的临床疗效。方法选择2015年1-10月在我院因不稳定性股骨转子间骨折行手术治疗的患者60例的临床资料进行回顾性分析,其中30例患者采用PFNA内固定治疗为PFNA组,30例患者采用DHS内固定治疗为DHS组。比较两组术中情况,术后住院时间,骨折愈合时间,术后随访不同时间点Harris评分结果以及临床疗效。结果 PFNA组平均手术时间短于DHS组,平均术中出血量少于DHS组,术后住院时间短于DHS组,差异均有统计学意义（P〈0.05）。术后3个月、6个月以及12个月,PFNA组Harris评分均显著高于DHS组,差异有统计学意义（P〈0.05）。PFNA组临床疗效优于DHS组,差异有统计学意义（P〈0.05）。结论 PFNA治疗不稳定性股骨转子间骨折效果更佳,恢复更快,值得临床推广。
Objective To discuss the clinical efficacy of the different internal fixation methods in the treatment of unstable intertrochanteric fractures. Methods The clinical data of 60 cases with unstable intertrochanteric fractures from Jan to Oct 2015 were retrospectively analyzed.30 cases were treated with PFNA,and 30 cases were treated with DHS.Data during the operation,postoperative hospital stay,fracture healing time,postoperative following-up of Harris scores at different time points and clinical efficacy of two groups were compared. Results Mean operative time of the PFNA was shorter than the DHS group,mean intraoperative blood loss was less than the DHS group,and postoperative hospital stay was shorter than the DHS group（P 〈 0.05）.Harris of the PFNA group on 3 months,6 months and 12 months after operation were higher than DHS group（P 〈 0.05）.Clinical efficacy of the PFNA group was better than the DHS group（P 〈 0.05）. Conclusion PFNA in treatment of unstable intertrochanteric fractures is better, with faster recovery, worthy of clinical promotion.
出处
《中国医药科学》
2016年第24期220-222,共3页
China Medicine And Pharmacy
