中国卫生标准管理
中國衛生標準管理
중국위생표준관리
China Health Standard Management
2015年
23期
70-71
,共2页
股骨转子间骨折%空心加压螺钉%动力髋螺钉%Gamma钉%防旋股骨近端髓内钉
股骨轉子間骨摺%空心加壓螺釘%動力髖螺釘%Gamma釘%防鏇股骨近耑髓內釘
고골전자간골절%공심가압라정%동력관라정%Gamma정%방선고골근단수내정
Femoral intertrochanteric fractures%Cannulated compression screw%Dynamic hip screw%Gamma nail%Proximal femoral anti-rotation
目的：探讨空心加压螺钉、动力髋螺钉（DHS）、Gamma钉、防旋股骨近端髓内钉（PFNA）4种内固定方法治疗股骨转子间骨折的临床疗效。方法选择我院骨科股骨转子间骨折患者100例分为4组：空心加压螺钉组25例，DHS组25例，Gamma钉组25例，PFNA组25例，比较4组患者的手术效果。结果100例患者均获得随访，时间6～48个月，4组患者疗效比较差异无统计学意义（P >0.05），DHS组切口长度、手术时间、术中出血量均长或多于其它三组（P <0.05），空心加压螺钉组、Gamma钉组、PFNA组三组切口长度、手术时间、术中出血量比较差异无统计学意义（P >0.05）。结论手术治疗股骨转子间骨折应根据不同的骨折类型选择合适的内固定系统，DHS术中损伤较大， PFNA固定相对较满意。
目的：探討空心加壓螺釘、動力髖螺釘（DHS）、Gamma釘、防鏇股骨近耑髓內釘（PFNA）4種內固定方法治療股骨轉子間骨摺的臨床療效。方法選擇我院骨科股骨轉子間骨摺患者100例分為4組：空心加壓螺釘組25例，DHS組25例，Gamma釘組25例，PFNA組25例，比較4組患者的手術效果。結果100例患者均穫得隨訪，時間6～48箇月，4組患者療效比較差異無統計學意義（P >0.05），DHS組切口長度、手術時間、術中齣血量均長或多于其它三組（P <0.05），空心加壓螺釘組、Gamma釘組、PFNA組三組切口長度、手術時間、術中齣血量比較差異無統計學意義（P >0.05）。結論手術治療股骨轉子間骨摺應根據不同的骨摺類型選擇閤適的內固定繫統，DHS術中損傷較大， PFNA固定相對較滿意。
목적：탐토공심가압라정、동력관라정（DHS）、Gamma정、방선고골근단수내정（PFNA）4충내고정방법치료고골전자간골절적림상료효。방법선택아원골과고골전자간골절환자100례분위4조：공심가압라정조25례，DHS조25례，Gamma정조25례，PFNA조25례，비교4조환자적수술효과。결과100례환자균획득수방，시간6～48개월，4조환자료효비교차이무통계학의의（P >0.05），DHS조절구장도、수술시간、술중출혈량균장혹다우기타삼조（P <0.05），공심가압라정조、Gamma정조、PFNA조삼조절구장도、수술시간、술중출혈량비교차이무통계학의의（P >0.05）。결론수술치료고골전자간골절응근거불동적골절류형선택합괄적내고정계통，DHS술중손상교대， PFNA고정상대교만의。
ObjectiveTo explore the clinical efficacy of four kinds of internal fixation methods cannulated compression screw、dynamic hip screw(DHS)、Gamma nail and proximal femoral anti-rotation(PFNA)for the treatment of femoral intertrochanteric fractures. Methods100 patients of femoral intertrochanteric fractures were divided into 4 groups according to the operation method,the efficacy of operation of the 4 groups treated with cannulated compression screw(n=25),DHS(n=25), Gamma nail(n=25),and PFNA(n=25) was compared.Results 100 cases were all folowed up for 6~48 months,there were no statistical significant difference in the efficacy of the 4 groups(P> 0.05),the length of incision、operation time、intraoperative blood loss of the group of DHS were longer or larger than the other groups(P< 0.05),there were no statistical significant difference between the groups of cannulated compression screw、 Gamma nail and proximal femoral anti-rotation(PFNA)(P> 0.05). Conclusion When treating femoral intertro chanteric fractures with operation,different types of fractures should use different kinds of internal fixation methods,DHS can cause more intraoperative damage,PFNA is relatively satisfactory.
