CAJ | 학술논문

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。
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 .