CAJ | 학술논문

目的分析比较经皮加压钢板（PCCP）和动力髋螺钉（DHS）治疗股骨粗隆间骨折的临床疗效。方法回顾性分析2009年5月至2013年10月接受 PCCP 或 DHS 内固定治疗且具有完整资料的52例股骨粗隆间骨折，其中 PC-CP 内固定组24例，DHS 内固定组28例。对两组手术切口长度、手术时间、术中出血量、输血量、骨折愈合时间、术后并发症、髋关节功能进行评价。结果52例患者术后随访8~23个月，平均16个月。DHS 组 Harris 评分平均80.4分，PC-CP 组 Harris 评分平均90.2分。PCCP 组在手术切口长度、手术时间、术中出血量、输血量、骨折愈合时间、术后并发症、术后髋关节 Harris 评分均显著优于 DHS 组。结论与 DHS 固定相比，PCCP 具有创伤小、骨折愈合快、术后并发症发生率低、髋关节功能恢复好等优点，是一种较好的治疗股骨粗隆间骨折的内置物。
목적분석비교경피가압강판（PCCP）화동력관라정（DHS）치료고골조륭간골절적림상료효。방법회고성분석2009년5월지2013년10월접수 PCCP 혹 DHS 내고정치료차구유완정자료적52례고골조륭간골절，기중 PC-CP 내고정조24례，DHS 내고정조28례。대량조수술절구장도、수술시간、술중출혈량、수혈량、골절유합시간、술후병발증、관관절공능진행평개。결과52례환자술후수방8~23개월，평균16개월。DHS 조 Harris 평분평균80.4분，PC-CP 조 Harris 평분평균90.2분。PCCP 조재수술절구장도、수술시간、술중출혈량、수혈량、골절유합시간、술후병발증、술후관관절 Harris 평분균현저우우 DHS 조。결론여 DHS 고정상비，PCCP 구유창상소、골절유합쾌、술후병발증발생솔저、관관절공능회복호등우점，시일충교호적치료고골조륭간골절적내치물。
Objective To compare the therapeutic effect of percutaneous compression plating(PCCP)and dynamic hip screw(DHS)in treatment of patients with femoral intertrochanteric fracture. Methods The clinical data of 52 senile patients with intertrochanteric hip fracture were retrospectively analyzed,they were treated with PCCP or DHS fixation during May 2009 to October 2013,and 24 of them were treated with PCCP and 28 with DHS. The incision length,operating time,intraoperative blood loss,amount of blood transfusion,time of bone union,compli-cations,and postoperative hip function were evaluated. Results All these 52 patients were followed up for 8 to 23 months,with an average of 16 months. Harris scores of 28 patients treated by DHS were 80. 4 points and those of 24 patients treated by PCCP were 90. 2 points. Patients in PCCP group had shorter length of incision,shorter operating time,less amount of bleeding,less blood transfusion,more rapid healing,less complications and higher Harris hip scores in comparison with those of DHS group( P ﹤ 0. 05). Conclusion In comparison with DHS,PCCP has advantages of 1ess trauma,more rapid healing,lower incidence of complications and better recovery of hip joint function,hence it is a good choice for treat-ment of patients with femoral intertrochanteric fracture.