中国现代医生
中國現代醫生
중국현대의생
CHINA MODERN DOCTOR
2015年
11期
62-64
,共3页
老年股骨粗隆间骨折%PFNA%DHS
老年股骨粗隆間骨摺%PFNA%DHS
노년고골조륭간골절%PFNA%DHS
Senile femoral intertrochanteric fracture%PFNA%DHS
目的：比较PFNA与DHS治疗老年股骨粗隆间骨折的手术效果。方法73例股骨粗隆间骨折患者根据治疗方法不同分为PFNA组(n=38)与DHS组(n=35)。比较两组的髋关节功能，并观察记录两组的手术时间、术中出血量、骨折愈合时间。结果 PFNA组与DHS组髋关节功能评定的优良率分别为92.1%(35/38)、80.0%(28/35)，组间比较差异有统计学意义(χ2=4.237，P<0.05)。PFNA组的手术时间(72.7±11.6)min，术中出血量(84.6±10.7)mL，骨折愈合时间(12.1±1.3)周，DHS组的手术时间(112.8±10.2)min，术中出血量(173.3±31.2)mL，骨折愈合时间(14.8±2.7)周，两组比较差异有统计学意义(P<0.05或P<0.01)。两组并发症发生率比较差异有统计学意义(P<0.05)。结论 PFNA与DHS均为治疗老年股骨粗隆间骨折的有效方法，但PFNA疗效显著优于DHS内固定，PFNA治疗老年股骨粗隆间骨折具有出血少、手术时间短、并发症少等优点。
目的：比較PFNA與DHS治療老年股骨粗隆間骨摺的手術效果。方法73例股骨粗隆間骨摺患者根據治療方法不同分為PFNA組(n=38)與DHS組(n=35)。比較兩組的髖關節功能，併觀察記錄兩組的手術時間、術中齣血量、骨摺愈閤時間。結果 PFNA組與DHS組髖關節功能評定的優良率分彆為92.1%(35/38)、80.0%(28/35)，組間比較差異有統計學意義(χ2=4.237，P<0.05)。PFNA組的手術時間(72.7±11.6)min，術中齣血量(84.6±10.7)mL，骨摺愈閤時間(12.1±1.3)週，DHS組的手術時間(112.8±10.2)min，術中齣血量(173.3±31.2)mL，骨摺愈閤時間(14.8±2.7)週，兩組比較差異有統計學意義(P<0.05或P<0.01)。兩組併髮癥髮生率比較差異有統計學意義(P<0.05)。結論 PFNA與DHS均為治療老年股骨粗隆間骨摺的有效方法，但PFNA療效顯著優于DHS內固定，PFNA治療老年股骨粗隆間骨摺具有齣血少、手術時間短、併髮癥少等優點。
목적：비교PFNA여DHS치료노년고골조륭간골절적수술효과。방법73례고골조륭간골절환자근거치료방법불동분위PFNA조(n=38)여DHS조(n=35)。비교량조적관관절공능，병관찰기록량조적수술시간、술중출혈량、골절유합시간。결과 PFNA조여DHS조관관절공능평정적우량솔분별위92.1%(35/38)、80.0%(28/35)，조간비교차이유통계학의의(χ2=4.237，P<0.05)。PFNA조적수술시간(72.7±11.6)min，술중출혈량(84.6±10.7)mL，골절유합시간(12.1±1.3)주，DHS조적수술시간(112.8±10.2)min，술중출혈량(173.3±31.2)mL，골절유합시간(14.8±2.7)주，량조비교차이유통계학의의(P<0.05혹P<0.01)。량조병발증발생솔비교차이유통계학의의(P<0.05)。결론 PFNA여DHS균위치료노년고골조륭간골절적유효방법，단PFNA료효현저우우DHS내고정，PFNA치료노년고골조륭간골절구유출혈소、수술시간단、병발증소등우점。
Objective To compare operation effects of PFNA and DHS in treatment of femoral intertrochanteric frac-ture. Methods A total of 73 cases of intertrochanteric fracture patients were divided into PFNA group (n=38) and DHS group (n=35) according to the different treatment methods. The function of hip joint were compared between two groups and the operation time, the amount of bleeding and the time of fracture healing were observed and recorded. Results The excellent and good rate of PFNA group and DHS group was 92.1% (35/38) and 80.0% (28/35), the difference was statistically significant between two groups (χ2=4.237, P<0.05). The operation time of group PFNA was(72.7±11.6)min, amount of bleeding during the operation was(84.6±10.7)mL, healing time of fracture was(12.1±1.3)weeks. The amount of bleeding operation time in DHS group was (112.8±10.2)min, amount of bleeding during the operation was(173.3±31.2) mL, healing time of fracture was (14.8±2.7)weeks, compared two groups, the difference was statistically significant (P<0.05 or P<0.01). There was significant difference in complications between two groups(P<0.05). Conclusion PFNA and DHS are both effective ways in treatment of senile femoral intertrochanteric. PFNA in treatment of senile in-tertrochanteric fractures with less bleeding, short operation time, less complications, especially, the therapeutic effect is superior than that of DHS internal fixation.
