摘要
目的探讨无牵引架侧卧位股骨近端防旋髓内钉(PFNA)内固定术应用于老年股骨粗隆间骨折患者中的效果。方法方便选择2019年6月—2020年5月该院收治的老年股骨粗隆间骨折患者196例,以随机数表法将其分为两组。对照组98例行牵引架平卧位PFNA内固定术,研究组98例行无牵引架侧卧位PFNA内固定术。对比两组术中与术后情况、治疗效果、术后并发症情况。结果研究组手术时间(56.6±12.6)min、术中失血量(83.5±30.5)mL均低于对照组(92.5±10.8)min、(125.6±5.0)mL,差异有统计学意义(t=21.415、13.485,P<0.001)。研究组手术切口长度(5.2±0.5)cm、骨折愈合时间(10.2±1.2)周与对照组(5.0±0.9)cm、(10.6±1.8)周对比,差异无统计学意义(t=1.923、1.830,P>0.05)。研究组治疗的优良率94.90%,与对照组92.86%对比,差异无统计学意义(χ^(2)=0.355,P>0.05)。研究组术后并发症发生率5.10%。与对照组6.12%对比,差异无统计学意义(χ^(2)=0.096,P>0.05)。结论无牵引架侧卧位PFNA内固定术具有手术难度低、操作简便等特点,可以有效缩短老年股骨粗隆间骨折患者的手术时间,减少术中失血量,且无需特殊的牵引设备,适于临床应用。
Objective To investigate the effect of PFNA internal fixation without traction frame in lateral position in elderly patients with femoral intertrochanteric fractures.Methods A total of 196 elderly patients with intertrochanteric fractures of the femur who were admitted to the hospital from June 2019 to May 2020 were conveniently selected and divided into two groups using a random number table.In the control group,98 cases underwent PFNA internal fixation in the horizontal position with traction frame,and 98 cases in the study group underwent PFNA internal fixation in the lateral position without traction frame.The intraoperative and postoperative conditions,treatment effects,and postoperative complications were compared between the two groups.Results The operation time(56.6±12.6)min and intraoperative blood loss(83.5±30.5)mL in the study group were lower than those in the control group(92.5±10.8)min and(125.6±5.0)mL,the difference was statistically significant(t=21.415,13.485,P<0.001).There was no statistically significant difference in the length of the surgical incision(5.2±0.5)cm and fracture healing time(10.2±1.2)weeks in the study group compared with the control group(5.0±0.9)cm and(10.6±1.8)w(t=1.923,1.830,P>0.05).There was no statistically significant difference in the treatment excellent and good rate of 94.90%in the study group and 92.86%in the control group(χ^(2)=0.355,P>0.05).There was no statistically significant difference in the incidence of postoperative complications between 5.10%in the study group and 6.12%in the control group(χ^(2)=0.096,P>0.05).Conclusion The lateral PFNA internal fixation without traction frame has the characteristics of low surgical difficulty and easy operation.It can effectively shorten the operation time of elderly patients with femoral intertrochanteric fractures,reduce intraoperative blood loss,and does not require special traction equipment.It is suitable for clinical application.
作者
沈孝龙
SHEN Xiaolong(Department of Orthopedics,Xintai People's Hospital,Xintai,Shandong Province,271200 China)
出处
《中外医疗》
2021年第16期60-62,共3页
China & Foreign Medical Treatment
关键词
无牵引架
侧卧位
PFNA内固定术
老年
股骨粗隆间骨折
Without traction frame
Lateral position
PFNA internal fixation
Elderly
Femoral intertrochanteric fracture
