摘要
目的：对比老年股骨粗隆间骨折患者采用DHS内固定与PFNA内固定治疗的效果.方法：随机抽取我院2014年3月~2016年7月收治的90例老年股骨粗隆间骨折患者作为本次的研究对象,分为DHS组与PFNA组,每组45例,分别以DHS内固定和PFNA内固定治疗,比较2种治疗方法的临床疗效.结果：PFNA组在手术时间和出血量方面都少于DHS组,PNFA组的优良率84.44%,优于DHS组的55.56%;2组比较具统计学意义 （P〈0.05）.DHS与PFNA并发症对比,DHS组有2例内固定切割、有4例髋内翻、有1例肢体缩短超过2cm、有1例骨折愈合延迟、有2例骨头坏死,并发症发生率为22.22%;PFNA组无1例内固定切割、肢体缩短超过2cm、骨折愈合延迟、骨头坏死现象,仅有1例发生髋内翻,并发症发生率为2.22%,2组患者并发症比较,存在统计学差异.结论： PFNA内固定术对治疗老年股骨粗隆间骨折患者的临床效果突出,是最佳的治疗方案,可提升患者生活质量,值得推荐.
Objective：To compare the effect of DHS internal fixation and PFNA internal fixation in elderly patients with intertrochanteric fractures.Methods：： 90 patients with recurrent intertrochanteric fractures were randomly divided into DHS group and PFNA group （n =45）.The patients were divided into DHS group and PFNA group.Fixed treatment, compare the clinical efficacy of the two treatment Methods：.Results：s： PFNA group had less operative time and hemorrhage than DHS group.The excellent and good rate of PNFA group was 84.44%, which was 55.56% higher than that of DHS group.The two groups were comparable （P 〈0.05）.DHS and PFNA complications, DHS group 2 cases of internal fixation, 4 cases of hip varus, 1 case of limb shortening more than 2cm, 1 case of fracture healing delay, 2 cases of bone necrosis, the incidence of complications was 22.22 %;PFNA group without fixed fixation, limb shortening more than 2cm, fracture healing delay, bone necrosis, only 1 case of hip varus, the incidence of complications was 2.22%, the two groups of patients with complications, there is statistical difference.Conclusion： PFNA internal fixation is an effective treatment for the treatment of elderly patients with intertrochanteric fractures.It is the best treatment regimen and can improve the quality of life of patients.It is worth recommending.
出处
《中国伤残医学》
2017年第12期7-9,共3页
Chinese Journal of Trauma and Disability Medicine
