CAJ | 학술논문

目的：比较经皮加压钢板（PCCP）和滑动髋螺钉（SHS）治疗老年骨质疏松性稳定型股骨粗隆间骨折的疗效。方法回顾性分析2009年1月至2010年12月治疗的86例老年股骨粗隆间骨折患者临床资料，其中，39例采用PCCP治疗（PCCP组），47例采用 SHS治疗（SHS组），比较两组手术时间、术中失血量、输血率、外侧壁破裂发生率、完全负重时间以及末次髋关节评分。结果手术时间、术中失血量、Harris评分方面，PCCP组优于 SHS组，差异有统计学意义（P＜0．05）；两组的输血率、外侧壁破裂发生率差异无统计学意义（P＞0．05）。结论在治疗老年骨质疏松性稳定型股骨粗隆间骨折方面，与 SHS相比，PCCP能缩短手术时间和切口，软组织损伤小，出血少，术后髋关节功能恢复好。
목적：비교경피가압강판（PCCP）화활동관라정（SHS）치료노년골질소송성은정형고골조륭간골절적료효。방법회고성분석2009년1월지2010년12월치료적86례노년고골조륭간골절환자림상자료，기중，39례채용PCCP치료（PCCP조），47례채용 SHS치료（SHS조），비교량조수술시간、술중실혈량、수혈솔、외측벽파렬발생솔、완전부중시간이급말차관관절평분。결과수술시간、술중실혈량、Harris평분방면，PCCP조우우 SHS조，차이유통계학의의（P＜0．05）；량조적수혈솔、외측벽파렬발생솔차이무통계학의의（P＞0．05）。결론재치료노년골질소송성은정형고골조륭간골절방면，여 SHS상비，PCCP능축단수술시간화절구，연조직손상소，출혈소，술후관관절공능회복호。
Objective To investigate the clinical outcomes of minimally invasive treatment of elderly patients with osteoporotic and stable intertrochanteric fracture with percutaneous compression plate as compared with sliding hip screw.Methods Retrospec-tive analysed 86 old patients with stable intertrochanteric fracture treated by PCCP(PCCP group)or SHS(SHS group)from Janu-ary 2009 to December 2010.There was 39 cases in the PCCP group and 47 cases in the SHS group.The operation time,blood loss, transfusion rate,incidence of lateral wall rupture,full weight bearing time and last Harris hip scores were recorded and compared between two groups.Results Shorter operation time,less blood loss and high Harris scores were observed in the PCCP group(P<0.05),but no signifocont difference between the two groups of tromsfusion rate and incidence of Lateral wall rapture(P>0.05). Conclusion compared with SHS,PCCP can lead to a lower surgery blood loss,shorter operation time and a better hip function.It is a suitable impant for elderly patients with osteoporotic and stable intertrochanteric fracture.