国际医药卫生导报
國際醫藥衛生導報
국제의약위생도보
International Medicine and Health Guidance News
2015年
20期
2986-2988
,共3页
股骨近端防旋髓内钉%股骨粗隆间骨折%老年人%治疗
股骨近耑防鏇髓內釘%股骨粗隆間骨摺%老年人%治療
고골근단방선수내정%고골조륭간골절%노년인%치료
Proximal femoral nail anti-rotation%Intertrochanteric fracture%Elderly%Treatment
目的 探讨股骨近端防旋髓内钉(proximal femoral nail antirotation,PFNA)治疗老年股骨粗隆间骨折的临床效果.方法 选择2013年1月至2014年12月来我院就诊的70例股骨粗隆间骨折的老年患者作为研究对象,利用随机数字表法将其分为观察组和对照组,观察组35例采用PFNA内固定治疗,对照组35例采用动力髋螺钉(dynamic hip screw,DHS)内固定治疗.观察比较两组患者的手术时间、出血量以及术后髋关节功能评分.结果 观察组患者平均手术时间与出血量均少于对照组[(62.4±17.6) min vs.(84.3±28.5) min,(121±21) mlvs.(296±39) ml],差异均有统计学意义(P＜0.05).观察组术后髋关节Harris评分优良率为91.43％,高于对照组的74.29％,差异有统计学意义(P＜0.05).结论 PFNA治疗老年股骨粗隆间骨折具有手术时间短、出血量少、恢复快、疗效好的特点,值得临床上推广应用.
目的 探討股骨近耑防鏇髓內釘(proximal femoral nail antirotation,PFNA)治療老年股骨粗隆間骨摺的臨床效果.方法 選擇2013年1月至2014年12月來我院就診的70例股骨粗隆間骨摺的老年患者作為研究對象,利用隨機數字錶法將其分為觀察組和對照組,觀察組35例採用PFNA內固定治療,對照組35例採用動力髖螺釘(dynamic hip screw,DHS)內固定治療.觀察比較兩組患者的手術時間、齣血量以及術後髖關節功能評分.結果 觀察組患者平均手術時間與齣血量均少于對照組[(62.4±17.6) min vs.(84.3±28.5) min,(121±21) mlvs.(296±39) ml],差異均有統計學意義(P＜0.05).觀察組術後髖關節Harris評分優良率為91.43％,高于對照組的74.29％,差異有統計學意義(P＜0.05).結論 PFNA治療老年股骨粗隆間骨摺具有手術時間短、齣血量少、恢複快、療效好的特點,值得臨床上推廣應用.
목적 탐토고골근단방선수내정(proximal femoral nail antirotation,PFNA)치료노년고골조륭간골절적림상효과.방법 선택2013년1월지2014년12월래아원취진적70례고골조륭간골절적노년환자작위연구대상,이용수궤수자표법장기분위관찰조화대조조,관찰조35례채용PFNA내고정치료,대조조35례채용동력관라정(dynamic hip screw,DHS)내고정치료.관찰비교량조환자적수술시간、출혈량이급술후관관절공능평분.결과 관찰조환자평균수술시간여출혈량균소우대조조[(62.4±17.6) min vs.(84.3±28.5) min,(121±21) mlvs.(296±39) ml],차이균유통계학의의(P＜0.05).관찰조술후관관절Harris평분우량솔위91.43％,고우대조조적74.29％,차이유통계학의의(P＜0.05).결론 PFNA치료노년고골조륭간골절구유수술시간단、출혈량소、회복쾌、료효호적특점,치득림상상추엄응용.
Objective To investigate the clinical effect of proximal femoral nail anti-rotation (PFNA) in the treatment of senile intertrochanteric fracture.Methods 70 cases of senile intertrochanteric fracture in our hospital from January 2013 to December 2014 were selected as research subjects, divided into observation group and control group according to random number table.35 cases in observation group received PFNA fixation treatment, while 35 cases in control group received dynamic hip screw (DHS) internal fixation.Observed operative time, blood loss and postoperative hip function score of two groups.Results The average operative time and blood loss in observation group were both less than those in control group [(62.4±17.6)min vs.(84.3±28.5)min, (121±21)ml vs.(296±39)ml], with statistically significant differences between two groups (P＜0.05).The excellent and good rate of postoperative Harris hip score in observation group was 91.43％, significantly higher than 74.29％ in control group, with statistically significant difference between two groups (P＜0.05).Conclusion PFNA has advantages such as shorter operative time, less blood loss, faster recovery and good efficacy in the treatment of senile intertrochanteric fracture, should be widely applied clinically.
