CAJ | 학술논문

目的：探讨不同固定方式治疗高龄股骨转子间骨折的疗效影响。方法选取确诊的高龄股骨转子间骨折患者62例，按照随机分配原则分为股骨近端髓内钉内固定组（PFNA组）和滑动加压髋螺钉内固定组（DHS组），DHS组给予滑动加压髋螺钉内固定转子间骨折手术治疗，PFNA组给予股骨近端髓内钉内固定转子间骨折手术治疗，对比分析两组手术治疗时间、出血量、人工髋关节疗效（Harris）评分和术后并发症发生情况。结果 PFNA组手术治疗时间、出血量明显低于DHS组，PFNA组Harris评分明显高于DHS组，差异有统计学意义（P<0.05）；PFNA组术后并发症总发生率明显低于DHS组，差异有统计学意义（P<0.05）。结论股骨近端髓内钉内固定转子间骨折手术可有效缩短高龄股骨转子间骨折患者手术时间，降低术中出血量，利于提高治疗效果，在一定程度上降低术后并发症的发生，值得临床推广。
목적：탐토불동고정방식치료고령고골전자간골절적료효영향。방법선취학진적고령고골전자간골절환자62례，안조수궤분배원칙분위고골근단수내정내고정조（PFNA조）화활동가압관라정내고정조（DHS조），DHS조급여활동가압관라정내고정전자간골절수술치료，PFNA조급여고골근단수내정내고정전자간골절수술치료，대비분석량조수술치료시간、출혈량、인공관관절료효（Harris）평분화술후병발증발생정황。결과 PFNA조수술치료시간、출혈량명현저우DHS조，PFNA조Harris평분명현고우DHS조，차이유통계학의의（P<0.05）；PFNA조술후병발증총발생솔명현저우DHS조，차이유통계학의의（P<0.05）。결론고골근단수내정내고정전자간골절수술가유효축단고령고골전자간골절환자수술시간，강저술중출혈량，리우제고치료효과，재일정정도상강저술후병발증적발생，치득림상추엄。
Objective To investigate the effects of different fixations of intertrochanteric fracture treatment of intertrochanteric fractures among elderly patients. Methods 62 cases of in-tertrochanteric fractures hospitalized in our hospital from February 2008 to June 2012, in accor-dance with the principle of random, was assignment into the proximal femoral nail group (PFNA group) and sliding compression hip screw fixation group (DHS group). DHS group was given be-tween the sliding hip screw fixation intertrochanteric fracture surgery. PFNA group was received between proximal femoral nail fixation intertrochanteric fracture surgery. Patients’ time, blood loss, hip efficacy (Harris) score and the incidence of postoperative complications of two groups were comparative analyzed. Results Surgery time, blood loss of PFNA group was significantly lower than the DHS group, PFNA Harris score was significantly higher in DHS group, the difference was statistically significant (P<0.05); Overall incidence of postoperative complications in PFNA group of significant was lower than that in DHS group. The difference was statistically significant (P<0.05). Conclusion Proximal femoral nail fixation intertrochanteric fracture surgery can effec-tively reduce fractures in elderly patients with intertrochanteric operative time, reduce the amount of bleeding during surgery, which will help improve patients’ outcomes, reduce postoperative com-plications occurrence in a certain extent, be worthy of further promotion.