世界中西医结合杂志
世界中西醫結閤雜誌
세계중서의결합잡지
WORLD JOURNAL OF TRADITIONAL CHINESE AND WESTERN MEDICINE
2014年
6期
627-628,631
,共3页
李世通%康保全%赵晋龙%牛文%田永亮%何润爱
李世通%康保全%趙晉龍%牛文%田永亮%何潤愛
리세통%강보전%조진룡%우문%전영량%하윤애
股骨粗隆间骨折%PFNA%治疗效果
股骨粗隆間骨摺%PFNA%治療效果
고골조륭간골절%PFNA%치료효과
Femoral Intertrochanteric Fracture%PFNA%Therapeutic Effect
目的:观察股骨近端防旋髓内针(PFNA)结合中医方法治疗老年股骨粗隆间骨折的临床疗效。方法2011年1月~2013年12月,采用微创 PFNA 治疗老年股骨粗隆间骨折患者20例,均于伤后1周内 C 型臂 X 线机透视下闭合复位后采用 PFNA 内固定治疗。结果20例患者,优14例,良4例,中2例,优良率为90.0%。术后随诊6~23个月,1例出现下肢腓总神经损伤症状,1例出现肺部感染,其余患者皆获满意疗效。结论 PFNA 结合中医治疗老年股骨粗隆间骨折,取得满意疗效,利于骨折愈合。
目的:觀察股骨近耑防鏇髓內針(PFNA)結閤中醫方法治療老年股骨粗隆間骨摺的臨床療效。方法2011年1月~2013年12月,採用微創 PFNA 治療老年股骨粗隆間骨摺患者20例,均于傷後1週內 C 型臂 X 線機透視下閉閤複位後採用 PFNA 內固定治療。結果20例患者,優14例,良4例,中2例,優良率為90.0%。術後隨診6~23箇月,1例齣現下肢腓總神經損傷癥狀,1例齣現肺部感染,其餘患者皆穫滿意療效。結論 PFNA 結閤中醫治療老年股骨粗隆間骨摺,取得滿意療效,利于骨摺愈閤。
목적:관찰고골근단방선수내침(PFNA)결합중의방법치료노년고골조륭간골절적림상료효。방법2011년1월~2013년12월,채용미창 PFNA 치료노년고골조륭간골절환자20례,균우상후1주내 C 형비 X 선궤투시하폐합복위후채용 PFNA 내고정치료。결과20례환자,우14례,량4례,중2례,우량솔위90.0%。술후수진6~23개월,1례출현하지비총신경손상증상,1례출현폐부감염,기여환자개획만의료효。결론 PFNA 결합중의치료노년고골조륭간골절,취득만의료효,리우골절유합。
Objective To observe the clinical efficacy of PFNA(proximal femoral nail anti - rota-tion)and Chinese medicine on senile femoral intertrochanteric fracture(IFF). Methods From January 2011 to December 2013,20 cases of senile IFF were treated with minimally invasive PFNA. In 1 week after injury, after the close reduction under C - type arm X - ray image machine,PFNA internal fixation was applied. Re-sults There were 1 case of peroneal nerve injury and 1 case of pulmonary infection. The satisfactory effect was achieved in the rest patients. In follow - up visit of 6 to 23 months after surgery,14 cases were excellent, 4 cases were good and 2 cases were fair in evaluation. The excellent and good rate was 90% . Conclusion PFNA combined with Chinese medicine achieves the satisfactory efficacy on senile IFF and promotes the healing after fracture.