CAJ | 학술논문

目的：对比分析经皮加压钢板（percutaneous compression plating，PCCP）和股骨近端防旋髓内钉（proximal femur nail antirotation，PFNA）内固定治疗股骨粗隆间骨折的优缺点。方法按治疗方法将70例股骨粗隆间骨折患者分为PFNA组（38例，采用PFNA系统固定）和PCCP组（32例，采用PCCP系统固定），比较2组手术时间、术中出血量、骨折愈合时间、下地负重时间、髋关节 Harris 评分和并发症的发生率。结果2组骨折愈合时间和并发症发生率比较差异无统计学意义（P＞0．05）。术后髋关节 Harris 评分：PFNA 组为（82．62±4．76）分，PCCP 组为（81．49±4．29）分，2组比较差异无统计学意义（P＞0．05）。2组手术时间比较差异无统计学意义（P＞0．05）。PC-CP组术中出血量和伤口引流量显著少于 PFNA组、PFNA组下地负重时间少于 PCCP组（均P＜0．05）。结论PCCP 和PFNA 均是治疗股骨粗隆间骨折较好的内固定材料。需根据患者的具体情况，合理地选择内固定方式治疗股骨粗隆间骨折。
목적：대비분석경피가압강판（percutaneous compression plating，PCCP）화고골근단방선수내정（proximal femur nail antirotation，PFNA）내고정치료고골조륭간골절적우결점。방법안치료방법장70례고골조륭간골절환자분위PFNA조（38례，채용PFNA계통고정）화PCCP조（32례，채용PCCP계통고정），비교2조수술시간、술중출혈량、골절유합시간、하지부중시간、관관절 Harris 평분화병발증적발생솔。결과2조골절유합시간화병발증발생솔비교차이무통계학의의（P＞0．05）。술후관관절 Harris 평분：PFNA 조위（82．62±4．76）분，PCCP 조위（81．49±4．29）분，2조비교차이무통계학의의（P＞0．05）。2조수술시간비교차이무통계학의의（P＞0．05）。PC-CP조술중출혈량화상구인류량현저소우 PFNA조、PFNA조하지부중시간소우 PCCP조（균P＜0．05）。결론PCCP 화PFNA 균시치료고골조륭간골절교호적내고정재료。수근거환자적구체정황，합리지선택내고정방식치료고골조륭간골절。
Objective To compare the advantages and disadvantages of percutaneous compres-sion plating(PCCP)and proximal femoral nail antirotation(PFNA)in the treatment of intertro-chanteric femur fractures.Methods Seventy patients with intertrochanteric fractures were as-signed to receive either PFNA(PFNA group,n=38)or PCCP(PCCP group,n=32)for internal fixation.The operative time,intraoperatve blood loss,fracture healing time,postoperative weight-bearing time,Harris hip score and incidence of complications were compared between the two groups.Results There were no significant differences in operative time,fracture healing time and incidence of complications between the two groups(P>0.05).Postoperative Harris hip score was 82.62±4.76 in PFNA group and 81.49±4.29 in PCCP group.The difference in Harris hip score was not significant between the two groups(P>0.05).Compared with PFNA group,intraoper-atve blood loss and wound drainage volume decreased but postoperative weight-bearing time in-creased in PCCP group(P<0.05).Conclusion Both PCCP and PFNA are excellent materials for internal fixation in the treatment of intertrochanteric fractures.The method for internal fixation should be reasonably chosen according to the specific situation of patients with intertrochanteric fractures.