国际医药卫生导报
國際醫藥衛生導報
국제의약위생도보
INTERNATIONAL MEDICINE & HEALTH GUIDANCE NEWS
2013年
18期
2810-2813
,共4页
老年股骨粗隆间粉碎性骨折%传统动力髋螺钉%股骨近端锁定加压钢板%股骨近端防旋髓内钉
老年股骨粗隆間粉碎性骨摺%傳統動力髖螺釘%股骨近耑鎖定加壓鋼闆%股骨近耑防鏇髓內釘
노년고골조륭간분쇄성골절%전통동력관라정%고골근단쇄정가압강판%고골근단방선수내정
Senile comminuted femoral intertrochanteric fracture%Dynamic hip screw (DHS)%Proximal femoral locking compression plate (PFLCP)%Proximal femoral nail antirotation (PFNA)
目的 探讨传统动力髋螺钉(DHS)、股骨近端锁定加压钢板(PFLCP)、股骨近端防旋髓内钉(PFNA)治疗老年股骨粗隆间粉碎性骨折的临床疗效.方法 61例老年股骨粗隆间粉碎性骨折患者进行内固定手术治疗,其中DHS组14例,PFLCP组23例,PFNA组24例,比较手术切口长度、手术时间、术中出血量、愈合时间、手术优良率和并发症发生率. 结果 ①PFNA组切口长度短、手术时间和术中出血量少、手术优良率(79.1％)高于DHS组(71.4％),比较差异有统计学意义(P＜0.05).②PFLCP组手术时间和术中出血量少、手术优良率(82.6％)高于DHS组,比较差异有统计学意义(P＜0.05).③PFLCP组术后并发症发生率(8.7％)低于于PFNA组(16.7％)和DHS组(14.3％),比较差异有统计学意义(P＜0.05).结论 在治疗老年股骨粗隆间粉碎性骨折时,PFNA和PFLCP优于DHS,可以明显缩短手术时间和减少患者出血量.PFLCP固定术可降低患者固定失败等并发症发生率.
目的 探討傳統動力髖螺釘(DHS)、股骨近耑鎖定加壓鋼闆(PFLCP)、股骨近耑防鏇髓內釘(PFNA)治療老年股骨粗隆間粉碎性骨摺的臨床療效.方法 61例老年股骨粗隆間粉碎性骨摺患者進行內固定手術治療,其中DHS組14例,PFLCP組23例,PFNA組24例,比較手術切口長度、手術時間、術中齣血量、愈閤時間、手術優良率和併髮癥髮生率. 結果 ①PFNA組切口長度短、手術時間和術中齣血量少、手術優良率(79.1％)高于DHS組(71.4％),比較差異有統計學意義(P＜0.05).②PFLCP組手術時間和術中齣血量少、手術優良率(82.6％)高于DHS組,比較差異有統計學意義(P＜0.05).③PFLCP組術後併髮癥髮生率(8.7％)低于于PFNA組(16.7％)和DHS組(14.3％),比較差異有統計學意義(P＜0.05).結論 在治療老年股骨粗隆間粉碎性骨摺時,PFNA和PFLCP優于DHS,可以明顯縮短手術時間和減少患者齣血量.PFLCP固定術可降低患者固定失敗等併髮癥髮生率.
목적 탐토전통동력관라정(DHS)、고골근단쇄정가압강판(PFLCP)、고골근단방선수내정(PFNA)치료노년고골조륭간분쇄성골절적림상료효.방법 61례노년고골조륭간분쇄성골절환자진행내고정수술치료,기중DHS조14례,PFLCP조23례,PFNA조24례,비교수술절구장도、수술시간、술중출혈량、유합시간、수술우량솔화병발증발생솔. 결과 ①PFNA조절구장도단、수술시간화술중출혈량소、수술우량솔(79.1％)고우DHS조(71.4％),비교차이유통계학의의(P＜0.05).②PFLCP조수술시간화술중출혈량소、수술우량솔(82.6％)고우DHS조,비교차이유통계학의의(P＜0.05).③PFLCP조술후병발증발생솔(8.7％)저우우PFNA조(16.7％)화DHS조(14.3％),비교차이유통계학의의(P＜0.05).결론 재치료노년고골조륭간분쇄성골절시,PFNA화PFLCP우우DHS,가이명현축단수술시간화감소환자출혈량.PFLCP고정술가강저환자고정실패등병발증발생솔.
Objective To study the curative effects of conventional dynamic hip screw (DHS),proximal femoral locking compression plate (PFLCP) and proximal femoral nail antirotation (PFNA) in the treatment of elderly patients with intertrochanteric comminuted fracture.Methods 61 cases of patients with intertrochanteric comminuted fracture were internally fixed with surgical treatment.DHS group contained 14 cases.PFLCP group contained 23 cases.PFNA group contained 24 cases.The surgical incision length,operation time,bleeding volume,healing time,the ratio of excellent operation and the incidence rate of complications were compared.Results ① The incision length and the operation time of PFNA group were shorter than those of DHS group,besides,the bleeding volume was less and the ratio of excellent operation was higher (79.1％v.s.71.4％,P＜0.05).② The operation time of PFNA group was shorter than that of DHS group,besides,the bleeding volume was less and the ratio of excellent operation was higher (82.6％ v.s.71.4％,P＜0.05).③ The incidence rate of complications in PFLCP group (8.7％) was lower than those in DHS group (14.3％) and PFNA group (16.7％,P＜0.05).Conclusion PFNA and PFLCP are better than DHS in the treatment of senile comminuted femoral intertrochanteric fracture,because they can significantly shorten the surgical time and reduce the bleeding.PFLCP can reduce the incidence of complications such as the failure of fixation.
