中国继续医学教育
中國繼續醫學教育
중국계속의학교육
China Continuing Medical Education
2015年
27期
150-151
,共2页
髋骨折%骨折固定术,髓内%骨钉%肥胖症%手术体位
髖骨摺%骨摺固定術,髓內%骨釘%肥胖癥%手術體位
관골절%골절고정술,수내%골정%비반증%수술체위
Hip facture%Facture ifxation%Intramedullary%Nail%Obesity%Operative position
目的：探讨侧卧位与平卧位下股骨近端防旋髓内钉（PFNA）治疗肥胖患者股骨转子间骨折的疗效。方法回顾性分析59例应用PFNA内固定治疗股骨转子间骨折患者的临床资料，随机分为侧卧位组和平卧位组，比较两组患者的手术时间、术中出血量、转子顶端切口长度、骨折愈合时间及髋关节Harris评分等。结果侧卧位组患者手术时间、转子顶端切口长度短于平卧位组，差异有统计学意义（P＜0.05），侧卧位组患者术中出血量少于平卧位组，差异有统计学意义（P＜0.05），两组患者骨折愈合时间、髋关节Harris评分等比较差异均无统计学意义（P＞0.05）。结论侧卧位行PFNA治疗肥胖患者股骨转子间骨折，降低了手术难度，缩短了手术时间和手术切口长度，减少了术中出血量，较平卧位行PFNA治疗肥胖患者股骨转子间骨折有明显优势。
目的：探討側臥位與平臥位下股骨近耑防鏇髓內釘（PFNA）治療肥胖患者股骨轉子間骨摺的療效。方法迴顧性分析59例應用PFNA內固定治療股骨轉子間骨摺患者的臨床資料，隨機分為側臥位組和平臥位組，比較兩組患者的手術時間、術中齣血量、轉子頂耑切口長度、骨摺愈閤時間及髖關節Harris評分等。結果側臥位組患者手術時間、轉子頂耑切口長度短于平臥位組，差異有統計學意義（P＜0.05），側臥位組患者術中齣血量少于平臥位組，差異有統計學意義（P＜0.05），兩組患者骨摺愈閤時間、髖關節Harris評分等比較差異均無統計學意義（P＞0.05）。結論側臥位行PFNA治療肥胖患者股骨轉子間骨摺，降低瞭手術難度，縮短瞭手術時間和手術切口長度，減少瞭術中齣血量，較平臥位行PFNA治療肥胖患者股骨轉子間骨摺有明顯優勢。
목적：탐토측와위여평와위하고골근단방선수내정（PFNA）치료비반환자고골전자간골절적료효。방법회고성분석59례응용PFNA내고정치료고골전자간골절환자적림상자료，수궤분위측와위조화평와위조，비교량조환자적수술시간、술중출혈량、전자정단절구장도、골절유합시간급관관절Harris평분등。결과측와위조환자수술시간、전자정단절구장도단우평와위조，차이유통계학의의（P＜0.05），측와위조환자술중출혈량소우평와위조，차이유통계학의의（P＜0.05），량조환자골절유합시간、관관절Harris평분등비교차이균무통계학의의（P＞0.05）。결론측와위행PFNA치료비반환자고골전자간골절，강저료수술난도，축단료수술시간화수술절구장도，감소료술중출혈량，교평와위행PFNA치료비반환자고골전자간골절유명현우세。
Objective The paper explores the curative effects of proximal femur nail anti-rotation (PFNA) on obese patients’ intertrochanteric fracture in lateral position and horizontal position.MethodsThe paper makes a retrospective analysis on the clinical data of 59 cases applying PFNA internal ifxation for the treatment of intertrochanteric facture, and divides the cases into the lateral position group and the horizontal position group randomly to compare the two groups in terms of duration of operation,blood loss during operation, incision length on trochanter top, facture healing time and Harris hip score.Results Lateral position group’s duration of operation and incision length on trochanter top are signiifcantly shorter than those of horizontal position group, of which the difference shows the statistical significance (P<0.05), lateral position group’s blood loss during operation is obviously less than that of horizontal position group, of which the difference shows the statistical significance (P<0.05), for fracture healing time and Harris hip score, two groups show no statistical signiifcance (P>0.05). Conclusion The horizontal-position PFNA for obese patients’ intertrochanteric fracture decreases operation dififculty, shortens operation time and length of surgical incision and reduces blood loss in operation, thus having obvious advantages compared with lateral-position PFNA for obese patients’ intertrochanteric fracture.
