CAJ | 학술논문

目的：观察人工股骨头置换和股骨近端防旋髓内钉(PFNA)在治疗老年股骨转子间骨折的疗效并进行分析比较。方法：2009年1月-2012年12月收治老年股骨转子间骨折患者52例，采用人工股骨头置换(A组)24例，PFNA内固定(B 组)28例。平均随访时间16个月。比较两组患者在手术时间、手术失血量、术后不良事件、Harris 评分的差异。结果：B组手术时间、手术失血量明显低于A组，差异有统计学意义(P＜0.05)；两组术后不良事件差异有统计学意义(P＜0.05)；两组Harris评分在术后3个月差异无统计学意义(P＞0.05)，术后6个月、12个月差异有统计学意义(P＜0.05)。结论：PFNA是治疗老年股骨转子间骨折的有效方法。手术时间短，失血量少，术后不良事件少，功能恢复良好，疗效肯定，是理想的治疗老年股骨转子间骨折的方法。
목적：관찰인공고골두치환화고골근단방선수내정(PFNA)재치료노년고골전자간골절적료효병진행분석비교。방법：2009년1월-2012년12월수치노년고골전자간골절환자52례，채용인공고골두치환(A조)24례，PFNA내고정(B 조)28례。평균수방시간16개월。비교량조환자재수술시간、수술실혈량、술후불량사건、Harris 평분적차이。결과：B조수술시간、수술실혈량명현저우A조，차이유통계학의의(P＜0.05)；량조술후불량사건차이유통계학의의(P＜0.05)；량조Harris평분재술후3개월차이무통계학의의(P＞0.05)，술후6개월、12개월차이유통계학의의(P＜0.05)。결론：PFNA시치료노년고골전자간골절적유효방법。수술시간단，실혈량소，술후불량사건소，공능회복량호，료효긍정，시이상적치료노년고골전자간골절적방법。
Objective:To explore the curative effect of artificial femoral head replacement and PFNA for treatment of femoral intertrochanteric fractures in the elderly patients and to make a comparison and analysis.Methods:We selected 52 elderly patients of femoral intertrochanteric fractures from January 2009 to December 2012.(A group)24 cases were treated by artificial femoral head replacement,while (B group)28 cases were treated with PFNA internal fixation.The mean follow-up time was 16 months.The differences of operation time,blood loss in the operation,postoperative adverse events,Harris score between the two groups were compared.Results:In the B group,operation time and blood loss in the operation were significantly lower than that in A group,and the difference was statistically significant(P<0.05).The difference of postoperative adverse events between the two groups was statistically significant(P<0.05).In the Harris score of the two groups,the difference was no statistically significant at 3 months after operation(P>0.05),and the difference was statistically significant at 6 months and 12 months after operation(P<0.05). Conclusion:PFNA is an effective method in the treatment of femoral intertrochanteric fractures in the elderly patients.Operation time is short,blood loss is less,postoperative adverse events are few,functional recovery is good,curative effect is positive,so it is an ideal treatment method for femoral intertrochanteric fractures in the elderly patients.