CAJ | 학술논문

目的：观察股骨近端抗旋髓内钉治疗转子间骨折的临床效果。方法回顾性分析2011年1月至2013年1月收治的121例股骨转子间骨折患者的临床资料，其中采用股骨近端抗旋髓内钉治疗患者57例设为髓内钉组，采用动力髋螺钉治疗患者64例设为髋螺钉组。比较两组患者的手术情况和预后。结果髓内钉组和髋螺钉组患者的手术时间分别为(56.2±7.4) min和(74.8±8.3) min，透视次数分别为(18.6±2.1)次和(22.3±2.4)次，术中出血量分别为(140.2±40.2) ml和(186.1±36.8) ml，差异均具有统计学意义(P<0.01)。髓内钉组和髋螺钉组患者手术切口长度分别为(7.2±2.0) cm和(6.7±2.0) cm，差异无统计学意义(P>0.05)。髓内钉组和髋螺钉组患者骨髋关节功能评分分别为(7.6±1.6)分和(7.8±1.7)分，差异无统计学意义(P>0.05)。髓内钉组和髋螺钉组患者完全负重时间分别为(10.4±2.7)周和(18.3±4.0)周，骨折愈合时间分别为(18.9±4.)周和(30.5±5.0)周，差异均具有显著统计学意义(P<0.01)。结论股骨近端抗旋髓内钉治疗转子间骨折的临床效果良好、恢复速度更快，具有临床应用价值。
목적：관찰고골근단항선수내정치료전자간골절적림상효과。방법회고성분석2011년1월지2013년1월수치적121례고골전자간골절환자적림상자료，기중채용고골근단항선수내정치료환자57례설위수내정조，채용동력관라정치료환자64례설위관라정조。비교량조환자적수술정황화예후。결과수내정조화관라정조환자적수술시간분별위(56.2±7.4) min화(74.8±8.3) min，투시차수분별위(18.6±2.1)차화(22.3±2.4)차，술중출혈량분별위(140.2±40.2) ml화(186.1±36.8) ml，차이균구유통계학의의(P<0.01)。수내정조화관라정조환자수술절구장도분별위(7.2±2.0) cm화(6.7±2.0) cm，차이무통계학의의(P>0.05)。수내정조화관라정조환자골관관절공능평분분별위(7.6±1.6)분화(7.8±1.7)분，차이무통계학의의(P>0.05)。수내정조화관라정조환자완전부중시간분별위(10.4±2.7)주화(18.3±4.0)주，골절유합시간분별위(18.9±4.)주화(30.5±5.0)주，차이균구유현저통계학의의(P<0.01)。결론고골근단항선수내정치료전자간골절적림상효과량호、회복속도경쾌，구유림상응용개치。
Objective To investigate the clinical efficacy of proximal femoral nail antirotation fixation (PF-NAF) in the treatment of intertrochanteric fracture of femur. Methods The clinical data of 121 patients with intertro-chanteric fractures in the hospital between January 2011 and January 2013 were retrospectively analyzed. Among the 121 patients, 57 patients treated by proximal femoral nail antirotation were set as PFNAF group and 64 patients treat-ed by dynamic hip screw (DHS) were set DHS group. The operation situation and prognosis were compared between two groups. Results The operation duration time in PFNAF group was (56.2±7.4) min, which was significantly less than (74.8±8.3) min in DHS group (P<0.01). The perspective times in PFNAF group was (18.6±2.1), which was signif-icantly less than (22.3 ± 2.4) in DHS group (P<0.01). The amount of bleeding in PFNAF group was (140.2 ± 40.2) ml, which was significantly less than (186.1±36.8) ml in DHS group (P<0.01). There was no statistically significant differ-ence of the operative incision lengths and hip joint function score between two groups (P>0.05). The full weight-bear-ing time in PFNAF group was (10.4±2.7) weeks, which was significantly less than (18.3±4.0) weeks in DHS group (P<0.01). The fracture healing time in PFNAF group was (18.9±4.6) weeks, which was significantly less than (30.5±5.0) weeks in DHS group (P<0.01). Conclusion The clinical results of proximal femoral nail antirotation fixation are satisfactory.