摘要
目的比较防旋型股骨近端髓内钉(PFNA)与短重建钉治疗老年难复型股骨粗隆间骨折的临床效果。方法选择医院收治的老年难复型股骨粗隆间骨折患者68例,根据手术方式的不同分为PFNA组与短重建钉组,两组分别行PFNA手术治疗或短重建钉手术治疗,比较两种的治疗效果及并发症情况。结果两组治疗总优良率无显著差异(P>0.05),均达到90%以上,但PFNA组手术时间、术中出血量、骨愈合时间、并发症发生率均显著少于或低于短重建钉组(P<0.01)。结论老年难复型股骨粗隆间骨折行PFNA手术治疗效果优良,且手术时间短,术中出血量少,术后并发症发生率低,是一种值得临床推广的手术方式。
Objective To compare the effects of proximal femoral nailantirotation（PFNA） and short reconstructed nail in the treatment of refractory intertrochanteric fractures in senile patients.Methods A total of 68 senile patients with refractory intertrochanteric fractures admitted to our hospital were selected and divided into a PFNA group and a short reconstructed nail group according to different operation methods.The two groups received PFNA operation and short reconstructed nail operation respectively.The effects of the two methods and the incidence of complications were compared.Results The overall excellence rate in the two groups was above 90% and showed no significant difference（P〈0.05）,but the operation time,intraoperative amount of bleeding,bone healing time and the incidence of complications in the PFNA group were significantly shorter or lower than those in the short reconstructed nail group（P〈0.01）.Conclusion PFNA has excellent effects in the treatment of refractory intertrochanteric fractures in senile patients,can shorten the operation time,reduce intraoperative amount of bleeding and lower the incidence of postoperative complications,and is worthy of clinical popularization.
出处
《西南国防医药》
CAS
2017年第10期1090-1092,共3页
Medical Journal of National Defending Forces in Southwest China
