CAJ | 학술논문

目的：比较股骨近端螺旋刀片抗旋转髓内钉（ proximal femur anti-rotation intramedullary nail，PFNA）与股骨近端锁定钢板（ proximal femur locking plate，PFLP）治疗股骨粗隆间骨折的疗效。方法回顾性随访2012年1月—2014年1月接受手术治疗的40例股骨粗隆间骨折患者，手术方式随机选择，其中PFNA治疗15例，PFLP治疗25例。比较两组手术时间、术中出血量、下地行走锻炼时间、术后并发症、骨折愈合时间。结果两组患者在手术时间、术中出血量、下地行走锻炼时间方面，P＜0．05，有统计学差异，PFNA治疗组优于PFLP治疗组；在骨折愈合时间、术后并发症方面，P＞0．05，无统计学差异。结论 PF-NA治疗股骨粗隆间骨折具有手术时间短、术中出血量少、下地行走锻炼时间早等优点。
목적：비교고골근단라선도편항선전수내정（ proximal femur anti-rotation intramedullary nail，PFNA）여고골근단쇄정강판（ proximal femur locking plate，PFLP）치료고골조륭간골절적료효。방법회고성수방2012년1월—2014년1월접수수술치료적40례고골조륭간골절환자，수술방식수궤선택，기중PFNA치료15례，PFLP치료25례。비교량조수술시간、술중출혈량、하지행주단련시간、술후병발증、골절유합시간。결과량조환자재수술시간、술중출혈량、하지행주단련시간방면，P＜0．05，유통계학차이，PFNA치료조우우PFLP치료조；재골절유합시간、술후병발증방면，P＞0．05，무통계학차이。결론 PF-NA치료고골조륭간골절구유수술시간단、술중출혈량소、하지행주단련시간조등우점。
Objective To compare the effects of proximal femur nail antirotation ( PFNA) and proximal femur locking plate ( PFLP) in the treatment of femoral intertrochanteric fractures.Methods Retrospectively analyzed 40 cases of intertrochanteric fracture patients in our department from January 2012 to January 2014,with 15 cases treated with PFNA and 25 cases with PFLP.The operation time,a-mount of bleeding were compared between the two groups,and the walking exercise time,postoperative complications,fracture healing time were also compared.Results The operation time,bleeding volume,and walking exercise time of these two groups had significant difference (P<0.05).The PFNA group had better results than the PFLP group,but there was no statistical difference in fracture heal-ing time and postoperative complications in the two groups ( P>0.05).Conclusion PFNA showed shorter operation time,less bleed-ing,and more early walking exercise time etc.