摘要
目的:探讨股骨近端髓内钉(PFNA)术中不同主钉长度对股骨转子间骨折治疗效果的影响。方法:选取洛阳市第三人民医院2019年1月至2021年3月期间收治的102例股骨转子间骨折患者,根据其采用的主钉长度不同分为短钉组52例和长钉组50例,其中短钉组使用170 mm的内钉,长钉组使用200 mm的内钉。比较两组治疗总有效率、手术指标、髋关节功能评分及并发症情况。结果:短钉组总有效率为96.15%(50/52),高于长钉组94.00%(47/50),差异无统计学意义(P>0.05);两组患者输血率、住院天数、骨骼愈合时间比较,差异均无统计学意义(P>0.05);两组手术后髋关节功能评分高于手术前,差异具有统计学意义(P<0.05);短钉组并发症发生率为5.77%,低于长钉组8.00%,差异无统计学意义(P>0.05)。结论:PFNA术中应用短钉和长钉治疗股骨转子间骨折疗效均较好,且可以促进恢复患者髋关节功能,但短钉疗效更好,可降低输血率和并发症发生率。
Objective To investigate the effect of different nail lengths in the treatment of intertrochanteric fracture of proximal femoral intramedullary nail(PFNA).Methods A total of 102 patients with intertrochanteric fractures admitted to Luoyang Third People's Hospital from January 2019 to March 2021 were selected,and they were divided into the short nail group with 52 cases and the long nail group with 50 cases according to the length of the main nail.The short nail group used 170 mm internal nail,and the long nail group used 200 mm internal nail.The total effective rate,operation index,hip joint function score and complications were compared between the two groups.Results The total effective rate of the short nail group was 96.15%(50/52),which was higher than 94.00%(47/50)of the long nail group,and the difference was not statistically significant(P>0.05).There was no significant difference in the blood transfusion rate,hospitalization days and bone healing time between the two groups(P>0.05).The hip function score of the two groups after operation was higher than that before the operation,the difference was statistically significant(P<0.05).The complication rate of the short nail group was 5.77%,lower than 8.00%of the long nail group,and the difference was not statistically significant(P>0.05).Conclusion PFNA has good efficacy in the treatment of intertrochanteric fracture with short nails and long nails,and can promote the recovery of patients'hip function.However,short nails have better efficacy and can reduce the rate of blood transfusion and the incidence of complications.
作者
莫涛
裴万里
MO Tao;PEI Wan-li(Luoyang Third People's Hospital,Henan Luoyang 471002)
出处
《深圳中西医结合杂志》
2022年第6期119-121,共3页
Shenzhen Journal of Integrated Traditional Chinese and Western Medicine
关键词
股骨转子间骨折
股骨近端髓内钉
髋关节功能
Femoral intertrochanteric fracture
Proximal femoral nail antirotation
Hip joint function
