CAJ | 학술논문

　　目的：探讨分别使用动力髋螺钉和防旋近端髓内钉对股骨骨折的患者行内固定术的疗效。方法：将2009年1月-2011年9月的86例股骨骨折，根据使用螺钉的种类分成两组，分别称作研究组和对照组。两组都行内固定术，研究组使用防旋近端髓内钉，对照组使用动力髋螺钉。对比手术时间、失血量、骨折愈合时间、在院治疗时间及1年后髋关节功能情况。结果：研究组手术时间、失血量均较对照组少（P<0.05），研究组骨折愈合时间及在院治疗的时间均短于对照组（P<0.05）；两组1年后髋关节功能评分差异无统计学意义（P>0.05）。结论：就股骨骨折的患者而言，动力髋螺钉和防旋近端髓内钉都是较理想的治疗器材，防旋近端髓内钉在近期疗效方面稍占优势。
　　목적：탐토분별사용동력관라정화방선근단수내정대고골골절적환자행내고정술적료효。방법：장2009년1월-2011년9월적86례고골골절，근거사용라정적충류분성량조，분별칭작연구조화대조조。량조도행내고정술，연구조사용방선근단수내정，대조조사용동력관라정。대비수술시간、실혈량、골절유합시간、재원치료시간급1년후관관절공능정황。결과：연구조수술시간、실혈량균교대조조소（P<0.05），연구조골절유합시간급재원치료적시간균단우대조조（P<0.05）；량조1년후관관절공능평분차이무통계학의의（P>0.05）。결론：취고골골절적환자이언，동력관라정화방선근단수내정도시교이상적치료기재，방선근단수내정재근기료효방면초점우세。
Objective:To investigate respectively using the dynamic hip screw and proximal femoral nail anti-rotation and internal fixation of femoral fractures underwent efficacy.Method:January 2009-September 2011,86 cases of femoral fractures were divided into two groups according to the types of screws,the study group and the control group. Dynamic hip screw fixation of both groups within,the study group used the anti-rotation proximal femoral nail. The control group used dynamic hip screw.Compared operative time,blood loss,fracture healing time,time in the hospital for treatment and 1 year after hip.Result:The study group operative time,blood loss were less compared with the control group ideals(P<0.05);study group fracture healing time and time to hospital were shorter than the control group(P<0.05);two groups 1 year after hip function was no significant difference(P>0.05). Conclusion:For patients with femoral fractures,dynamic hip screw and anti-rotation proximal femoral nail is the ideal treatment equipment,anti-spin proximal femoral nail in the near future in terms of efficacy has slight advantage.