CAJ | 학술논문

目的比较全髋关节置换和股骨近端髓内钉两种手术方式治疗老年性股骨粗隆间骨折的疗效,评价二者的优劣.方法回顾性分析2009年6月~2012年5月我院收治的老年股骨粗隆间骨折患者66例,分别采用THA与PFN治疗,比较两组患者的手术创伤、手术时间及功能恢复等指标.结果采用髋关节功能Harris评分系统评定,两种手术方法均获得良好的临床疗效.在切口长度、手术时间和术中出血量方面,PFN优于THA组(P<0.05);而术后卧床时间及内科并发症方面,THA组更优(P<0.05).结论 THA与PFN均为治疗老年性股骨粗隆间骨折的有效方法,临床上应根据患者骨折特点来选择最合适的手术方式.
목적비교전관관절치환화고골근단수내정량충수술방식치료노년성고골조륭간골절적료효,평개이자적우렬.방법회고성분석2009년6월~2012년5월아원수치적노년고골조륭간골절환자66례,분별채용THA여PFN치료,비교량조환자적수술창상、수술시간급공능회복등지표.결과채용관관절공능Harris평분계통평정,량충수술방법균획득량호적림상료효.재절구장도、수술시간화술중출혈량방면,PFN우우THA조(P<0.05);이술후와상시간급내과병발증방면,THA조경우(P<0.05).결론 THA여PFN균위치료노년성고골조륭간골절적유효방법,림상상응근거환자골절특점래선택최합괄적수술방식.
Objective To compare the curative effect of total hip arthroplasty(THA)with that of proximal femur nail(PFN)in treating senile patients with intertrochanteric fracture. Methods A retrospective analysis was made to the clinical data of 66 senile cases with intertrohanteric fracture;according to the patients’will, 66 cases were divided into 2 groups:THA group(n=26)and PFN group (n=40);the surgical wound, operation time length and function recovery of the patients in the 2 groups were compared. Results Both THA and PFN were of good clinical curative effect according to Harris hip function score system; PFN group was superior to THA group in incision length, operation time and bleeding volume in operation(P<0.05)while THA group was superior in bed rest time after operation and complications to PFN group(P<0.05). Conclusions Both THA and PFN are effective in the treatment of the senile pa-tients with intertrochanteric fracture and the choice should be made based on the fracture situation of the patients.