数理医药学杂志
數理醫藥學雜誌
수리의약학잡지
JOURNAL OF MATHEMATICAL MEDICINE
2015年
9期
1285-1286
,共2页
股骨粗隆间骨折%髋关节功能%疗效观察
股骨粗隆間骨摺%髖關節功能%療效觀察
고골조륭간골절%관관절공능%료효관찰
femoral intertrochanteric fracture%function of hip joint%curative effect observation
目的:分析股骨近端抗旋转刀片髓内钉(PFNA)与动力髋加压螺钉(DHS)治疗老年股骨粗隆间骨折的临床疗效。方法:以某院32例股骨粗隆间骨折患者为研究对象,记录手术时间、术中出血量、术后3月髋内翻情况及 Harris 髋关节功能评分,随访3个月。结果:PFNA组在手术时间、术中出血量、术后引流量、髋内翻发生率都少于 DHS组,Harris 评分高于 DHS组(P<0.05,差异有统计学意义)。结论:与DHS对比,PFNA手术治疗老年股骨粗隆间骨折手术时间短、对患者的创伤小、髋关节功能改善良好,对于治疗老年人股骨粗隆间骨折具有良好的疗效。
目的:分析股骨近耑抗鏇轉刀片髓內釘(PFNA)與動力髖加壓螺釘(DHS)治療老年股骨粗隆間骨摺的臨床療效。方法:以某院32例股骨粗隆間骨摺患者為研究對象,記錄手術時間、術中齣血量、術後3月髖內翻情況及 Harris 髖關節功能評分,隨訪3箇月。結果:PFNA組在手術時間、術中齣血量、術後引流量、髖內翻髮生率都少于 DHS組,Harris 評分高于 DHS組(P<0.05,差異有統計學意義)。結論:與DHS對比,PFNA手術治療老年股骨粗隆間骨摺手術時間短、對患者的創傷小、髖關節功能改善良好,對于治療老年人股骨粗隆間骨摺具有良好的療效。
목적:분석고골근단항선전도편수내정(PFNA)여동력관가압라정(DHS)치료노년고골조륭간골절적림상료효。방법:이모원32례고골조륭간골절환자위연구대상,기록수술시간、술중출혈량、술후3월관내번정황급 Harris 관관절공능평분,수방3개월。결과:PFNA조재수술시간、술중출혈량、술후인류량、관내번발생솔도소우 DHS조,Harris 평분고우 DHS조(P<0.05,차이유통계학의의)。결론:여DHS대비,PFNA수술치료노년고골조륭간골절수술시간단、대환자적창상소、관관절공능개선량호,대우치료노년인고골조륭간골절구유량호적료효。
Objective:To analyze and compare the effect of PFNA and DHS on senile femoral intertro-chanteric fracture.Methods:Take 32 cases of senile femoral intertrochanteric fracture as the research object. Record the duration of operation ,blood loss during operation,coxa vara in the following 3 months after oper-ation,Harris score of hip jiont function ,keep following up for 3 months.Results:In PFNA group,the duration of operation,blood loss during operation,postoperative drainage,the incidence of coxa vara were all less than that in DHS group,but Harris score was higher than that of DHS group,the differences were statistically sig-nificant(P<0.05).Conclusion:To compare with DHS,it is more effective to treat senile femoral intertrochan-teric fracture with PFNA ,and the operation duration would be shorter,and the there would be less harm to the patients and hip joint function would be improved.