河北医学
河北醫學
하북의학
HEBEI MEDICINE
2014年
3期
453-455
,共3页
微创%高龄%PFNA%股骨粗隆间骨折
微創%高齡%PFNA%股骨粗隆間骨摺
미창%고령%PFNA%고골조륭간골절
Minimally invasive surgery%Elderly%PFNA%Intertrochanteric fracture
目的:探析PFNA微创法对高龄不稳定性股骨粗隆间骨折患者的临床效果。方法:入选112例高龄不稳定性股骨粗隆间骨折患者,随机分入两组各56例,治疗组行PFNA微创治疗,对照组行PFN法治疗,比较两组患者的手术时间、并发症、骨折愈合时间等评价疗效。结果:治疗组优良率显著高于对照组(91%vs.79%,P<0.05),并发症发生率显著低于对照组(7%vs.34%,P<0.05),预后显著优于对照组( P<0.05)。结论:采用微创PFNA治疗高龄股骨粗隆间骨折,容易操作,愈合较快,疗效确切,感染等并发症少,值得临床推广。
目的:探析PFNA微創法對高齡不穩定性股骨粗隆間骨摺患者的臨床效果。方法:入選112例高齡不穩定性股骨粗隆間骨摺患者,隨機分入兩組各56例,治療組行PFNA微創治療,對照組行PFN法治療,比較兩組患者的手術時間、併髮癥、骨摺愈閤時間等評價療效。結果:治療組優良率顯著高于對照組(91%vs.79%,P<0.05),併髮癥髮生率顯著低于對照組(7%vs.34%,P<0.05),預後顯著優于對照組( P<0.05)。結論:採用微創PFNA治療高齡股骨粗隆間骨摺,容易操作,愈閤較快,療效確切,感染等併髮癥少,值得臨床推廣。
목적:탐석PFNA미창법대고령불은정성고골조륭간골절환자적림상효과。방법:입선112례고령불은정성고골조륭간골절환자,수궤분입량조각56례,치료조행PFNA미창치료,대조조행PFN법치료,비교량조환자적수술시간、병발증、골절유합시간등평개료효。결과:치료조우량솔현저고우대조조(91%vs.79%,P<0.05),병발증발생솔현저저우대조조(7%vs.34%,P<0.05),예후현저우우대조조( P<0.05)。결론:채용미창PFNA치료고령고골조륭간골절,용역조작,유합교쾌,료효학절,감염등병발증소,치득림상추엄。
Objective:To study the clinical effect of PFNA minimally invasive treatment for elderly pa-tients with unstable intertrochanteric fractures .Method:112 cases of elderly patients with unstable femoral intertrochanteric fracture patients were randomly divided into two groups , 56 cases in each group , treatment group received PFNA therapy , the control group received PFN therapy , and then compared operation time , complications , fracture healing time and curative time of two groups .Result:The excellent rate of the treat-ment group was significantly higher than that in control group ( 91%vs 79%, P<0.05 ) , the complication rate was significantly lower than that of the control group (7%vs 34%, P <0.05), the prognosis was better than the control group (P <0.05).Conclusion:Minimally invasive PFNA in the treatment of intertrochan-teric fractures in elderly patients is easy to operate , heal faster , curative effect is exact , with less infection or other complications , worthy of clinical application .