临床医学工程
臨床醫學工程
림상의학공정
Clinical Medical & Engineering
2015年
10期
1319-1320
,共2页
老年股骨转子间骨折%骨水泥型%人工股骨双动头置换%股骨近端抗旋髓内钉置入
老年股骨轉子間骨摺%骨水泥型%人工股骨雙動頭置換%股骨近耑抗鏇髓內釘置入
노년고골전자간골절%골수니형%인공고골쌍동두치환%고골근단항선수내정치입
Intertrochanteric fracture in elderly patient%Bone cement type%Artificial femoral double acting head replacement%Proximal femoral nail anti-rotation insertion
目的：分析比较老年转子间骨折采取股骨近端抗旋髓内钉置入(PFNA)和骨水泥型人工股骨双动头置换治疗的临床疗效。方法选择2011年1月至2014年1月来我院治疗的老年股骨转子间骨折患者128例，按照不同治疗方法分为对照组(61例)和观察组(67例)。对照组采取骨水泥型人工股骨双动头置换治疗，观察组采取股骨近端抗旋髓内钉置入治疗。观察对比两组患者的术中出血量、手术时间、住院时间、术后下床活动时间以及并发症发生情况。结果观察组的术中出血量、手术时间以及住院时间均显著优于对照组，差异有统计学意义(P<0.05)；两组Harris评分、术后下床活动时间、并发症发生率相比差异不显著(P>0.05)。结论老年股骨转子间骨折采取骨水泥型人工股骨双动头置换和股骨近端抗旋髓内钉置入治疗的疗效相当，但后者具有手术时间和住院时间短、术中出血量少的优点，临床上应根据患者的病情合理选择手术方式，改善其预后。
目的：分析比較老年轉子間骨摺採取股骨近耑抗鏇髓內釘置入(PFNA)和骨水泥型人工股骨雙動頭置換治療的臨床療效。方法選擇2011年1月至2014年1月來我院治療的老年股骨轉子間骨摺患者128例，按照不同治療方法分為對照組(61例)和觀察組(67例)。對照組採取骨水泥型人工股骨雙動頭置換治療，觀察組採取股骨近耑抗鏇髓內釘置入治療。觀察對比兩組患者的術中齣血量、手術時間、住院時間、術後下床活動時間以及併髮癥髮生情況。結果觀察組的術中齣血量、手術時間以及住院時間均顯著優于對照組，差異有統計學意義(P<0.05)；兩組Harris評分、術後下床活動時間、併髮癥髮生率相比差異不顯著(P>0.05)。結論老年股骨轉子間骨摺採取骨水泥型人工股骨雙動頭置換和股骨近耑抗鏇髓內釘置入治療的療效相噹，但後者具有手術時間和住院時間短、術中齣血量少的優點，臨床上應根據患者的病情閤理選擇手術方式，改善其預後。
목적：분석비교노년전자간골절채취고골근단항선수내정치입(PFNA)화골수니형인공고골쌍동두치환치료적림상료효。방법선택2011년1월지2014년1월래아원치료적노년고골전자간골절환자128례，안조불동치료방법분위대조조(61례)화관찰조(67례)。대조조채취골수니형인공고골쌍동두치환치료，관찰조채취고골근단항선수내정치입치료。관찰대비량조환자적술중출혈량、수술시간、주원시간、술후하상활동시간이급병발증발생정황。결과관찰조적술중출혈량、수술시간이급주원시간균현저우우대조조，차이유통계학의의(P<0.05)；량조Harris평분、술후하상활동시간、병발증발생솔상비차이불현저(P>0.05)。결론노년고골전자간골절채취골수니형인공고골쌍동두치환화고골근단항선수내정치입치료적료효상당，단후자구유수술시간화주원시간단、술중출혈량소적우점，림상상응근거환자적병정합리선택수술방식，개선기예후。
Objective To analyze the clinical effect of proximal femoral nail anti-rotation (PFNA) insertion and bone-cement type artificial femoral double acting head replacement in the treatment of elderly patients with intertrochanteric fracture. Methods 128 elderly patients with intertrochanteric fracture treated in our hospital from January 2011 to January 2014 were selected and randomly divided into control group (61 cases) and observation group (67 cases) according to the treatment methods. The control group was treated with bone-cement type artificial femoral double acting head replacement, the observation group was treated with PFNA insertion. The bleeding volume during operation, operation time, hospital stays, time of leaving bed and incidence of complications were compared between two groups. Results The bleeding volume during operation, operation time and hospital stays of observation group were significantly better than those of control group, with statistical difference (P<0.05);the Harris score, time of leaving bed and complications rate of two groups had no statistical difference (P >0.05). Conclusions Bone cement type artificial femoral double acting head replacement and proximal femoral anti-rotation insertion has similar effect in the treatment of elderly patients with intertrochanteric fractures, but the latter has the advantages of short operation time, short hospital stays and less bleeding volume. The surgical method should be selected reasonably according to patients' condition, thus improve the prognosis of patients.
