国际医药卫生导报
國際醫藥衛生導報
국제의약위생도보
INTERNATIONAL MEDICINE & HEALTH GUIDANCE NEWS
2015年
16期
2401-2404
,共4页
股骨粗隆间骨折%PFNA%DHS
股骨粗隆間骨摺%PFNA%DHS
고골조륭간골절%PFNA%DHS
Intertrochanteric femur fracture%Proximal femoral nail anti-rotation%Dynamic hip screw
目的 探讨股骨近端防旋髓内钉(PFNA)内固定微创及动力髋螺钉(dynamic hip screw,DHS)治疗股骨粗隆间骨折(intertrochanteric femur fracture,IFF)的方法及临床疗效.方法 将98例IFF患者随机分为两组,对照组49例实施DHS治疗,观察组49例给予PFNA,比较两组的各项指标及疗效价值.结果 观察组的手术时间、术中出血量、负重时间以及骨折愈合时间显著少于或短于对照组(P＜0.05);观察组的总优良率为91.83％,显著高于对照组的79.59％(P＜0.05);观察组术后总并发症发生率为6.12％,明显低于对照组的18.37％(P＜0.05).结论 PFNA内固定微创疗法治疗IFF具备良好的生物力学特点,具有微创化、适应症广泛、操作简单、创伤小、血运破坏小、手术时间短、出血少、固定安全可靠、能够尽早下地、并发症少、疗效肯定等特点,是一种治疗IFF的理想方法,值得临床大力推广.
目的 探討股骨近耑防鏇髓內釘(PFNA)內固定微創及動力髖螺釘(dynamic hip screw,DHS)治療股骨粗隆間骨摺(intertrochanteric femur fracture,IFF)的方法及臨床療效.方法 將98例IFF患者隨機分為兩組,對照組49例實施DHS治療,觀察組49例給予PFNA,比較兩組的各項指標及療效價值.結果 觀察組的手術時間、術中齣血量、負重時間以及骨摺愈閤時間顯著少于或短于對照組(P＜0.05);觀察組的總優良率為91.83％,顯著高于對照組的79.59％(P＜0.05);觀察組術後總併髮癥髮生率為6.12％,明顯低于對照組的18.37％(P＜0.05).結論 PFNA內固定微創療法治療IFF具備良好的生物力學特點,具有微創化、適應癥廣汎、操作簡單、創傷小、血運破壞小、手術時間短、齣血少、固定安全可靠、能夠儘早下地、併髮癥少、療效肯定等特點,是一種治療IFF的理想方法,值得臨床大力推廣.
목적 탐토고골근단방선수내정(PFNA)내고정미창급동력관라정(dynamic hip screw,DHS)치료고골조륭간골절(intertrochanteric femur fracture,IFF)적방법급림상료효.방법 장98례IFF환자수궤분위량조,대조조49례실시DHS치료,관찰조49례급여PFNA,비교량조적각항지표급료효개치.결과 관찰조적수술시간、술중출혈량、부중시간이급골절유합시간현저소우혹단우대조조(P＜0.05);관찰조적총우량솔위91.83％,현저고우대조조적79.59％(P＜0.05);관찰조술후총병발증발생솔위6.12％,명현저우대조조적18.37％(P＜0.05).결론 PFNA내고정미창요법치료IFF구비량호적생물역학특점,구유미창화、괄응증엄범、조작간단、창상소、혈운파배소、수술시간단、출혈소、고정안전가고、능구진조하지、병발증소、료효긍정등특점,시일충치료IFF적이상방법,치득림상대력추엄.
Objective To study the clinical effect of proximal femoral nail anti-rotation (PFNA) in minimally invasive fixation and dynamic hip screw (DHS) in the treatment of intertrochanteric femur fracture (IFF).Methods 98 cases of IFF were randomly divided into two groups,49 cases in control group received DHS treatment,while 49 cases in observation group received PFNA treatment.Compared clinical effect and indexes of two groups.Results Operation time,intraoperative bleeding volume,weight bearing time and fracture healing time in observation group were significantly less than or shorter than those in control group (P＜0.05).The excellent and good rate in observation group was 91.83％,significantly higher than 79.59％ in control group (P＜0.05).The rate of postoperative complications in observation group was 6.12％,significantly lower than 18.37％ of control group (P＜0.05).Conclusions PFNA in minimally invasive fixation in the treatment of IFF has good biomechanics characteristics,with advantages of minimally invasive,extensive indications,simple operation,small trauma,less blood circulation failure,short operation time,less bleeding,safe and reliable fixation,patients going to the ground as soon as possible,fewer complications,significant curative effect.It is an ideal method for treatment of IFF,worthy of clinical promotion.
