中国伤残医学
中國傷殘醫學
중국상잔의학
CHINESE JOURNAL OF TRAUMA AND DISABILITY MEDICINE
2015年
2期
3-4,5
,共3页
PFNA%DHS%内固定%股骨转子间骨折
PFNA%DHS%內固定%股骨轉子間骨摺
PFNA%DHS%내고정%고골전자간골절
PNFA%DHS%Internal fixation%Intertrochanteric fractures
目的::观察 PFNA内固定与 DHS内固定治疗老年股骨转子间骨折的临床疗效。方法:随机选取我院收治股骨间转子骨折老年患者86例。治疗组患者接受 PFNA内固定法,对照组患者接受 DHS内固定法。观察2组患者的手术出血量,记录其 Harris评分与术后疗效。结果:治疗组 Harris评分为82.7±6.5分,对照组为65.4±5.4分。治疗组患者出血量为150.7±31.9ml,对照组为279.6±45.6ml。 PFNA内固定法治愈率为93.1%,DHS为88.4%。结论:PFNA内固定法和 DHS内固定法均可有效治疗老年股骨转子间骨折患者。 PFNA 创口更小、出血量更少,更适合临床推广。
目的::觀察 PFNA內固定與 DHS內固定治療老年股骨轉子間骨摺的臨床療效。方法:隨機選取我院收治股骨間轉子骨摺老年患者86例。治療組患者接受 PFNA內固定法,對照組患者接受 DHS內固定法。觀察2組患者的手術齣血量,記錄其 Harris評分與術後療效。結果:治療組 Harris評分為82.7±6.5分,對照組為65.4±5.4分。治療組患者齣血量為150.7±31.9ml,對照組為279.6±45.6ml。 PFNA內固定法治愈率為93.1%,DHS為88.4%。結論:PFNA內固定法和 DHS內固定法均可有效治療老年股骨轉子間骨摺患者。 PFNA 創口更小、齣血量更少,更適閤臨床推廣。
목적::관찰 PFNA내고정여 DHS내고정치료노년고골전자간골절적림상료효。방법:수궤선취아원수치고골간전자골절노년환자86례。치료조환자접수 PFNA내고정법,대조조환자접수 DHS내고정법。관찰2조환자적수술출혈량,기록기 Harris평분여술후료효。결과:치료조 Harris평분위82.7±6.5분,대조조위65.4±5.4분。치료조환자출혈량위150.7±31.9ml,대조조위279.6±45.6ml。 PFNA내고정법치유솔위93.1%,DHS위88.4%。결론:PFNA내고정법화 DHS내고정법균가유효치료노년고골전자간골절환자。 PFNA 창구경소、출혈량경소,경괄합림상추엄。
Objective:To observe the clinical effects of PFNA and DHS internal fixation in treating old intertrochanteric fractures pa-tients. Methods:86 old intertrochanteric fractures patients were selected. Patients in treatment group were treated by PFNA internal fixa-tion and control group by DHS internal fixationin. The bleeding and rate of effectiveness were compared. Results:The average score of Harris was 82. 7 ± 6. 5 and amount of bleedingwas 150. 7 ± 31. 9 ml in treatment group, while they were65. 4 ± 5. 4and 279. 6 ± 45. 6 ml in control group. The cure rate was 93. 1% and 88. 4% of PFNA and DHS internal fixation. Conclusion:Both PFNA and DHS internal fixa-tion could cure old intertrochanteric fractures patients effectively. PFNA internal fixation wounds smaller, bleeding less and might be more suitable for popularizing.