河南外科学杂志
河南外科學雜誌
하남외과학잡지
HENAN JOURNAL OF SURGERY
2015年
3期
20-21,22
,共3页
粗隆间骨折%股骨近端防旋髓内钉%动力髋%内固定
粗隆間骨摺%股骨近耑防鏇髓內釘%動力髖%內固定
조륭간골절%고골근단방선수내정%동력관%내고정
Intertrochanteric fracture%Proximal femoral Nail%Antirotation dynamic hip%Fracture fixation
目的：分析比较 PFNA 与 DHS 治疗股骨粗隆间骨折的效果。方法将58例股骨粗隆间骨折患者随机分为2组，研究组（31例）行 PFNA 内固定治疗，对照组（27例）行 DHS 治疗。随访（15.2±2.2）个月，观察比较2组的手术时间、出血量、负重时间、Harris 评分及优良率。结果 PFNA 组手术时间、出血量、负重时间均少于 DHS 组，差异有统计学意义（P ＜0.05）。Harris 评分及优良率2组比较，差异无统计学意义（P ＜0.05）。结论 PFNA 治疗股骨粗隆间骨折，手术时间短、出血量少、可早期负重行走。
目的：分析比較 PFNA 與 DHS 治療股骨粗隆間骨摺的效果。方法將58例股骨粗隆間骨摺患者隨機分為2組，研究組（31例）行 PFNA 內固定治療，對照組（27例）行 DHS 治療。隨訪（15.2±2.2）箇月，觀察比較2組的手術時間、齣血量、負重時間、Harris 評分及優良率。結果 PFNA 組手術時間、齣血量、負重時間均少于 DHS 組，差異有統計學意義（P ＜0.05）。Harris 評分及優良率2組比較，差異無統計學意義（P ＜0.05）。結論 PFNA 治療股骨粗隆間骨摺，手術時間短、齣血量少、可早期負重行走。
목적：분석비교 PFNA 여 DHS 치료고골조륭간골절적효과。방법장58례고골조륭간골절환자수궤분위2조，연구조（31례）행 PFNA 내고정치료，대조조（27례）행 DHS 치료。수방（15.2±2.2）개월，관찰비교2조적수술시간、출혈량、부중시간、Harris 평분급우량솔。결과 PFNA 조수술시간、출혈량、부중시간균소우 DHS 조，차이유통계학의의（P ＜0.05）。Harris 평분급우량솔2조비교，차이무통계학의의（P ＜0.05）。결론 PFNA 치료고골조륭간골절，수술시간단、출혈량소、가조기부중행주。
Objective To compare PFNA and the DHS two method treatment femeral intatro chanteric fracture curative effect. Meth-ods To review analyze the femeral intatro chanteric fracture 58 cases from June,2010 to June,2013,the male 30 cases,the female 28 cases, in 31 routine PFNA the fixed treatment is study group,27 routine DHS treatments are the control group,the average(15. 2 ± 2. 2)month revis-it,compares two group of surgery time,the hemorrhage quantity,the carrying heavy load time,the Harris grading and fine rate. Results The PFNA group surgery time,the hemorrhage quantity,the carrying heavy load time are short in the DHS group(P < 0. 05),the difference has statistics significance,the Harris grading and the fine rate of two group comparison difference has no statistics significance. Conclusion Sur-gery time the PFNA treatment femeral intatro chanteric fracture is short,the hemorrhage quantity few,may the early time carry a heavy load walks,is worth the clinical promotion.
