中国综合临床
中國綜閤臨床
중국종합림상
CLINICAL MEDICINE OF CHINA
2014年
10期
1091-1093
,共3页
骨折%股骨粗隆%疗效%愈合
骨摺%股骨粗隆%療效%愈閤
골절%고골조륭%료효%유합
Fracture%Femoral trochanter%Efficacy%Healing
目的 探讨DHS、PFNA和Intertan钉治疗老年股骨粗隆间骨折的效果.方法 选择101例老年股骨粗隆间骨折患者,行DHS固定34例(DHS组)、PFNA固定33例(PFNA组)、Intertan钉固定34例(INTERTAN组),观察3组手术时间、术中出血量、并发症等,并随访疗效.结果 DHS组手术时间[(85.1±8.9)、(63.1±8.2)、(57.9±9.2)min,F=12.761,P＜0.001]、术中出血量[(350.1±80.2)、(137.5 ±35.4)、(125.2±38.2) ml,F=20.462,P＜0.001]和术后引流量[(125.3±20.4)、69.4±9.2)、(74.6±10.4) ml,F=15.871,P＜0.001]显著高于PFNA组和INTERTAN组.INTERTAN组手术时间、术中出血量低于PFNA组,但差异无统计学意义(P均＞0.05).DHgS组骨折不愈合率显著高于其他两组(8.82％与0和0,x2=6.092,P=0.047).DHS组、PFNA组和INTERTAN组的优良率分别为82.4％ (28/34)、87.9％(29/33)、85.3％ (29/34),差异无统计学意义(x2 =0.591,P＞0.05).结论 Intertan钉和PFNA手术时间短、抗旋转能力强,术后各种并发症发生率低,较DHS更适用于治疗老年伴有骨质疏松的股骨粗隆间骨折.
目的 探討DHS、PFNA和Intertan釘治療老年股骨粗隆間骨摺的效果.方法 選擇101例老年股骨粗隆間骨摺患者,行DHS固定34例(DHS組)、PFNA固定33例(PFNA組)、Intertan釘固定34例(INTERTAN組),觀察3組手術時間、術中齣血量、併髮癥等,併隨訪療效.結果 DHS組手術時間[(85.1±8.9)、(63.1±8.2)、(57.9±9.2)min,F=12.761,P＜0.001]、術中齣血量[(350.1±80.2)、(137.5 ±35.4)、(125.2±38.2) ml,F=20.462,P＜0.001]和術後引流量[(125.3±20.4)、69.4±9.2)、(74.6±10.4) ml,F=15.871,P＜0.001]顯著高于PFNA組和INTERTAN組.INTERTAN組手術時間、術中齣血量低于PFNA組,但差異無統計學意義(P均＞0.05).DHgS組骨摺不愈閤率顯著高于其他兩組(8.82％與0和0,x2=6.092,P=0.047).DHS組、PFNA組和INTERTAN組的優良率分彆為82.4％ (28/34)、87.9％(29/33)、85.3％ (29/34),差異無統計學意義(x2 =0.591,P＞0.05).結論 Intertan釘和PFNA手術時間短、抗鏇轉能力彊,術後各種併髮癥髮生率低,較DHS更適用于治療老年伴有骨質疏鬆的股骨粗隆間骨摺.
목적 탐토DHS、PFNA화Intertan정치료노년고골조륭간골절적효과.방법 선택101례노년고골조륭간골절환자,행DHS고정34례(DHS조)、PFNA고정33례(PFNA조)、Intertan정고정34례(INTERTAN조),관찰3조수술시간、술중출혈량、병발증등,병수방료효.결과 DHS조수술시간[(85.1±8.9)、(63.1±8.2)、(57.9±9.2)min,F=12.761,P＜0.001]、술중출혈량[(350.1±80.2)、(137.5 ±35.4)、(125.2±38.2) ml,F=20.462,P＜0.001]화술후인류량[(125.3±20.4)、69.4±9.2)、(74.6±10.4) ml,F=15.871,P＜0.001]현저고우PFNA조화INTERTAN조.INTERTAN조수술시간、술중출혈량저우PFNA조,단차이무통계학의의(P균＞0.05).DHgS조골절불유합솔현저고우기타량조(8.82％여0화0,x2=6.092,P=0.047).DHS조、PFNA조화INTERTAN조적우량솔분별위82.4％ (28/34)、87.9％(29/33)、85.3％ (29/34),차이무통계학의의(x2 =0.591,P＞0.05).결론 Intertan정화PFNA수술시간단、항선전능력강,술후각충병발증발생솔저,교DHS경괄용우치료노년반유골질소송적고골조륭간골절.
Objective To investigate the therapy of DHS,PFNA and Intertan nail for the treatment in elderly patients with intertrochanteric femoral fractures.Methods One hundred and one elderly patients with intertrochanteric fractures were collected.Thirty-four cases of them were undertaken DHS (DHS group),33 cases for PFNA (PFNA group),and 34 cases for Intertan nail (INTERTAN group).Operative time,blood loss and complications were observed.Results The Operative time of patients in DHS,PFNA and Intertan groups were (85.1 ± 8.9) min,(63.1 ± 8.2) min,(57.9 ± 9.2) min respectively and the difference was significant (F=12.761,P＜0.001).The blood loss amount in DHS group were (350.1 ±80.2)ml,lower that those in PFNA and Intertan groups ((137.5 ± 35.4) ml and (125.2 ± 38.2) ml,F =20.462,P ＜ 0.001).Meanwhile,the postoperative drainage in DHS group was (125.3 ± 20.4) ml,significantly higher than PFNA group and INTERTAN group ((69.4 ± 9.2) ml and (74.6 ± 10.4) ml; F =15.871,P ＜0.001).Operative time,blood loss amount in INTERTAN group were less than that in PFNA group,but no significant difference (P ＞0.05).Nonunion in DHS group was significantly higher than the other two groups (8.82％ vs 0％ and 0％,x2 =6.092,P =0.047).Excellent rate in DHS group,PFNA group and Intertan group were 82.3％ (28/ 34),87.8％ (29/33),85.3％ (29/34) respectively,and there was no significant difference (x2 =0.591,P ＞ 0.05).Conclusion Compared with DHS,Intertan nail and PFNA have advantage of shorter operative time,stronger anti-rotation capability and less various postoperative complication rates,thus they are more suitable for elderly osteoporotic intertrochanteric fracture.
