浙江创伤外科
浙江創傷外科
절강창상외과
ZHEJIANG JOURNAL OF TRAUMATIC SURGERY
2015年
2期
222-225
,共4页
Gamma钉%PFNA%股骨重建钉%股骨粗隆间骨折%临床对比分析
Gamma釘%PFNA%股骨重建釘%股骨粗隆間骨摺%臨床對比分析
Gamma정%PFNA%고골중건정%고골조륭간골절%림상대비분석
Gamma nail%PFNA%Reconstruction interlocking nail%Intertrochanteric femoral fracture%Clinical comparative analysis
目的：探讨Gamm钉、PFNA及股骨重建钉治疗老年股骨粗隆间骨折的临床疗效对比。方法选取2013年1月至2013年12月收治的老年股骨粗隆间骨折患者78例，根据手术方法将其分为3组，PFNA组56例，Gamma钉治疗组12例，股骨重建钉组10例。比较两组患者的临床指标、髋关节功能及术后并发症情况。结果 PFNA组及股骨重建钉组手术时间、术中出血量、骨折愈合时间均明显小于股骨Gamma钉组，差异有统计学意义（P<0.05）；而PFNA组与股骨重建组间无明显的差异PFNA组及股骨重建钉组住院时间较Gamma钉组有所缩短，但差异无统计学意义（P>0.05）。Parker髋关节功能评定结果显示，Gamma钉组、PFNA组及股骨重建钉组3组术后总优良率分别为75%、92.8%、90%，PFNA组及股骨重建钉组高于Gamma钉组（P<0.05）；术后并发症的发生率PFNA组低于其他两组（P<0.05）。结论 PFNA、Gamma钉及股骨重建钉均是治疗不稳定型股骨粗隆间骨折的有效方法，股骨重建钉及PFNA具有创伤小、手术方法简单、术后恢复快、并发症少等优点，更适合于临床应用。
目的：探討Gamm釘、PFNA及股骨重建釘治療老年股骨粗隆間骨摺的臨床療效對比。方法選取2013年1月至2013年12月收治的老年股骨粗隆間骨摺患者78例，根據手術方法將其分為3組，PFNA組56例，Gamma釘治療組12例，股骨重建釘組10例。比較兩組患者的臨床指標、髖關節功能及術後併髮癥情況。結果 PFNA組及股骨重建釘組手術時間、術中齣血量、骨摺愈閤時間均明顯小于股骨Gamma釘組，差異有統計學意義（P<0.05）；而PFNA組與股骨重建組間無明顯的差異PFNA組及股骨重建釘組住院時間較Gamma釘組有所縮短，但差異無統計學意義（P>0.05）。Parker髖關節功能評定結果顯示，Gamma釘組、PFNA組及股骨重建釘組3組術後總優良率分彆為75%、92.8%、90%，PFNA組及股骨重建釘組高于Gamma釘組（P<0.05）；術後併髮癥的髮生率PFNA組低于其他兩組（P<0.05）。結論 PFNA、Gamma釘及股骨重建釘均是治療不穩定型股骨粗隆間骨摺的有效方法，股骨重建釘及PFNA具有創傷小、手術方法簡單、術後恢複快、併髮癥少等優點，更適閤于臨床應用。
목적：탐토Gamm정、PFNA급고골중건정치료노년고골조륭간골절적림상료효대비。방법선취2013년1월지2013년12월수치적노년고골조륭간골절환자78례，근거수술방법장기분위3조，PFNA조56례，Gamma정치료조12례，고골중건정조10례。비교량조환자적림상지표、관관절공능급술후병발증정황。결과 PFNA조급고골중건정조수술시간、술중출혈량、골절유합시간균명현소우고골Gamma정조，차이유통계학의의（P<0.05）；이PFNA조여고골중건조간무명현적차이PFNA조급고골중건정조주원시간교Gamma정조유소축단，단차이무통계학의의（P>0.05）。Parker관관절공능평정결과현시，Gamma정조、PFNA조급고골중건정조3조술후총우량솔분별위75%、92.8%、90%，PFNA조급고골중건정조고우Gamma정조（P<0.05）；술후병발증적발생솔PFNA조저우기타량조（P<0.05）。결론 PFNA、Gamma정급고골중건정균시치료불은정형고골조륭간골절적유효방법，고골중건정급PFNA구유창상소、수술방법간단、술후회복쾌、병발증소등우점，경괄합우림상응용。
Objective To investigate the clinical efficacies of gamma nail, PFNA and reconstruction interlocking nail in the treatment of in-tertrochanteric femoral fracture. Methods 78 aged patients with intertrochanteric femoral fracture admitted in our hospital from January 2013 to Decem-ber 2012 were divided into three groups:gamma nail group(n=12), PFNA group(n=56), and reconstruction interlocking nail group (n=10),according to the operation method. Clinical indexes, hip joint function and complications of the three groups were compared. Results The operation time and healing time both in PFNA and reconstruction interlocking nail group were significantly shorter than those of the gamma nail group, intraoperative blood loss was less than that of the gamma nail group, and the differences were statistically significant ( P<0.05). The hospital time of the PFNA and reconstruction interlocking nail group was both shorter than that of the gamma nail group, the total effective rate was higher than that of the gamma nail group, the incidence rate of complica-tions in PFNA group was lower than that of the gamma nail and reconstruction interlocking nail group( P<0.05). Conclusion All of the three internal fix-ation methods were effective treatments for femoral intertrochanteric fracture, but PFNA and reconstruction interlocking nail were more suitable for clinical application with less trauma, simpler operation method, less time for postoperative recovery and fewer complications.
