中国社区医师
中國社區醫師
중국사구의사
Chinese Community Doctors
2015年
24期
47-47,49
,共2页
股骨转子间骨折%股骨近端防旋髓内钉%内固定
股骨轉子間骨摺%股骨近耑防鏇髓內釘%內固定
고골전자간골절%고골근단방선수내정%내고정
Femoral intertrochanteric fracture%Proximal femoral nail antirotation%Internal fixation
目的：研究分析股骨近端防旋刀片髓内钉(PFNA)内固定治疗老年股骨转子间骨折的临床效果。方法：收治老年股骨转子间骨折患者38例，给予PFNA内固定进行治疗，观察患者的Harris髋关节功能评分。结果：38例患者的手术切口顺利愈合，术后X片检查显示，骨折处对线良好。随访7～18个月，平均11个月，骨折均愈合，根据Harris髋关节功能评分标准，优26例，良10例，差2例，总优良率94.7%。结论：PFNA内固定治疗老年股骨转子间骨折疗效确切，X线透视下的微创手术，有利于软组织修复和骨折愈合，提高患者的生活质量及临床疗效，是治疗老年股骨转子间骨折的有效方法。
目的：研究分析股骨近耑防鏇刀片髓內釘(PFNA)內固定治療老年股骨轉子間骨摺的臨床效果。方法：收治老年股骨轉子間骨摺患者38例，給予PFNA內固定進行治療，觀察患者的Harris髖關節功能評分。結果：38例患者的手術切口順利愈閤，術後X片檢查顯示，骨摺處對線良好。隨訪7～18箇月，平均11箇月，骨摺均愈閤，根據Harris髖關節功能評分標準，優26例，良10例，差2例，總優良率94.7%。結論：PFNA內固定治療老年股骨轉子間骨摺療效確切，X線透視下的微創手術，有利于軟組織脩複和骨摺愈閤，提高患者的生活質量及臨床療效，是治療老年股骨轉子間骨摺的有效方法。
목적：연구분석고골근단방선도편수내정(PFNA)내고정치료노년고골전자간골절적림상효과。방법：수치노년고골전자간골절환자38례，급여PFNA내고정진행치료，관찰환자적Harris관관절공능평분。결과：38례환자적수술절구순리유합，술후X편검사현시，골절처대선량호。수방7～18개월，평균11개월，골절균유합，근거Harris관관절공능평분표준，우26례，량10례，차2례，총우량솔94.7%。결론：PFNA내고정치료노년고골전자간골절료효학절，X선투시하적미창수술，유리우연조직수복화골절유합，제고환자적생활질량급림상료효，시치료노년고골전자간골절적유효방법。
Objective:To study and analyze the clinical effect of proximal femoral nail antirotation(PFNA)internal fixation for the treatment of femoral intertrochanteric fractures in the elderly.Methods:38 elderly patients with femoral intertrochanteric fractures were selected.They were treated with PFNA internal fixation.We observed the patients'Harris score of hip joint function.Results:38 cases of patients with healed incision operation,postoperative X examination showed that the fracture was good on the line, follow up for 7~18 months,average 11 months,all fractures healed.According to the Harris hip score,26 cases were excellent,good in 10 cases,poor in 2 cases,the total excellent rate was 94.7%.Conclusion:The effect of PFNA internal fixation in the treatment of senile intertrochanteric fracture is curative,minimally invasive surgery under X-ray fluoroscopy,and help the soft tissue repair and healing,improve quality of life and clinical effect in patients.It is an effective method for the treatment of intertrochanteric fractures in the elderly.
