CAJ | 학술논문

目的：探讨动力髋螺钉(DHS)与股骨近端抗旋髓内钉(PFNA)对高龄股骨粗隆间骨折的临床疗效。方法：选择我院收治的157例高龄股骨粗隆间骨折患者的的临床资料,其中,观察组76例患者采用PFNA方法治疗,而对照组81例患者采用DHS,比较两组患者的临床疗效。结果：治疗后,观察组患者的切口长度、手术时间以及术中出血量等指标均明显优于对照组患者,且差异具有明显统计学意义(P<0.05),而观察组患者术后髋关节功能Harris评分的优良率为88.2%,明显优于对照组患者,差异具有明显统计学意义(P<0.05),同时,观察组患者术后并发症的发生率仅为3.9%,明显低于对照组患者,且差异具有明显统计学意义(P<0.05)。结论：采用股骨近端抗旋髓内钉治疗高龄患者股骨粗隆间骨折的疗效明显优于动力髋螺钉,患者术后并发症发生率明显降低,值得临床广泛推广和应用。
목적：탐토동력관라정(DHS)여고골근단항선수내정(PFNA)대고령고골조륭간골절적림상료효。방법：선택아원수치적157례고령고골조륭간골절환자적적림상자료,기중,관찰조76례환자채용PFNA방법치료,이대조조81례환자채용DHS,비교량조환자적림상료효。결과：치료후,관찰조환자적절구장도、수술시간이급술중출혈량등지표균명현우우대조조환자,차차이구유명현통계학의의(P<0.05),이관찰조환자술후관관절공능Harris평분적우량솔위88.2%,명현우우대조조환자,차이구유명현통계학의의(P<0.05),동시,관찰조환자술후병발증적발생솔부위3.9%,명현저우대조조환자,차차이구유명현통계학의의(P<0.05)。결론：채용고골근단항선수내정치료고령환자고골조륭간골절적료효명현우우동력관라정,환자술후병발증발생솔명현강저,치득림상엄범추엄화응용。
Objective:To compare the clinical efficacy of DHS and PFNA in treatment of intertrochanteric fracture of femur. Methods:157 cases with intertrochanteric fracture were divided into two groups, including the observation group of 76 patients with PFNA treatment and the control group of 81 patients with DHS.Results:After treatment, the incision length, operative time and blood loss and other indicators of the observation group were significantly better than the control group patients (P<0.05), while the observation group patients with hip Harris scores good rate of 88.2%, significantly better than the control group (P<0.05), the observation group were postoperative complications rate was only 3.9%, (P<0.05).Conclusion:PFNA in treatment of intertrochanteric fracture of femur was significantly better than DHS, and it is worthy of wider promotion and application.