中国基层医药
中國基層醫藥
중국기층의약
CHINESE JOURNAL OF PRIMARY MEDICINE AND PHARMACY
2013年
1期
44-46
,共3页
毛琦%龚志锋%蓝子江%吴元元%胡钊
毛琦%龔誌鋒%藍子江%吳元元%鬍釗
모기%공지봉%람자강%오원원%호쇠
骨钉%骨折固定术,髓内%股骨骨折
骨釘%骨摺固定術,髓內%股骨骨摺
골정%골절고정술,수내%고골골절
Bone nails%Fracture fixateon,intramedullary%Femoral fractures
目的 比较股骨近端防旋髓内钉(PFNA)与动力髋螺钉(DHS)治疗老年人股骨粗隆间骨折的临床疗效.方法 分析58例股骨粗隆间骨折患者临床资料,其中30例行DHS固定,28例行PFNA固定,比较两组手术时间、手术出血量、并发症发生率和Harris评分等,评价两者的临床疗效.结果 PFNA组手术时间[(59.61±8.27)min]、手术出血量[(234.51±38.80) ml]等方面均优于DHS组[(83.54±11.12) min、(446.57±54.01)ml](t=9.80、18.10,P＜0.05)；PFNA组髋关节功能恢复总优良率为92.8％,DHS组为83.3％,差异有统计学意义(x2=6.18,P＜0.05),PFNA组内固定失效、股骨头切割、髋内翻等术后并发症发生率低于DHS组.结论 PFNA内固定治疗老年人粗隆间骨折具有创伤小、固定稳、恢复快等优点,是治疗老年人股骨粗隆间骨折较理想的方法.
目的 比較股骨近耑防鏇髓內釘(PFNA)與動力髖螺釘(DHS)治療老年人股骨粗隆間骨摺的臨床療效.方法 分析58例股骨粗隆間骨摺患者臨床資料,其中30例行DHS固定,28例行PFNA固定,比較兩組手術時間、手術齣血量、併髮癥髮生率和Harris評分等,評價兩者的臨床療效.結果 PFNA組手術時間[(59.61±8.27)min]、手術齣血量[(234.51±38.80) ml]等方麵均優于DHS組[(83.54±11.12) min、(446.57±54.01)ml](t=9.80、18.10,P＜0.05)；PFNA組髖關節功能恢複總優良率為92.8％,DHS組為83.3％,差異有統計學意義(x2=6.18,P＜0.05),PFNA組內固定失效、股骨頭切割、髖內翻等術後併髮癥髮生率低于DHS組.結論 PFNA內固定治療老年人粗隆間骨摺具有創傷小、固定穩、恢複快等優點,是治療老年人股骨粗隆間骨摺較理想的方法.
목적 비교고골근단방선수내정(PFNA)여동력관라정(DHS)치료노년인고골조륭간골절적림상료효.방법 분석58례고골조륭간골절환자림상자료,기중30례행DHS고정,28례행PFNA고정,비교량조수술시간、수술출혈량、병발증발생솔화Harris평분등,평개량자적림상료효.결과 PFNA조수술시간[(59.61±8.27)min]、수술출혈량[(234.51±38.80) ml]등방면균우우DHS조[(83.54±11.12) min、(446.57±54.01)ml](t=9.80、18.10,P＜0.05)；PFNA조관관절공능회복총우량솔위92.8％,DHS조위83.3％,차이유통계학의의(x2=6.18,P＜0.05),PFNA조내고정실효、고골두절할、관내번등술후병발증발생솔저우DHS조.결론 PFNA내고정치료노년인조륭간골절구유창상소、고정은、회복쾌등우점,시치료노년인고골조륭간골절교이상적방법.
Objective To compare the clinical effects of proximal femoral nail antirotation (PFNA) and dynamic hip screw (DHS) in the treatment of intertrochanteric fractures in elderly patients.And provide a reasonable basis for clinical treatment of elderly patients with intertrochanteric fractures.Methods The clinical and follow-up records of 58 elderly patients with intertrochanteric fractures treated by PFNA and DHS were retrospectively reviewed.For times of operation,blood loss in operation,length of incision,incidents of complication and Harris's hip functional standard score were compared and analyzed.Results PFNA group operation time[(59.61 ± 8.27)min],amount of bleeding[(234.51 ± 38.80)ml] were both better than the DHS group of[(83.54 ± 11.12)min and (446.57 ±54.01) ml] respectively.There were significant differences (t =9.80,18.10,all P ＜ 0.05).The satisfactory rate was 92.8％ in PFNA group,higher than the DHS group's 83.3 ％ (x2 =6.18,P ＜ 0.05).There was significant difference between two groups in the incident of complication,DHS group was higher.Conclusion PFNA internal fixation with a minimally invasive,fixed solid and recovery fast,is the better internal fixation in the treatment of elderly intertrochanteric fracture patients.
