CAJ | 학술논문

目的：探讨股骨近端防旋髓内钉(PFNA)和经皮加压钢板(PCCP)治疗股骨粗隆间骨折(IFF)的临床疗效。方法：选取122例IFF患者为研究对象，按患者所选治疗方法不同PFNA组与PCCP组，各61例，比较2组患者术中出血量、并发症发生率、骨折愈合时间等变化。结果 PCCP组患者手术时间短于PFNA组，术中出血量少于PFNA组，术后Harris评分低于PFNA组，差异均有统计学意义(P<0.05)；PFNA组优良的率优于PCCP组(81.97%/62.30%)；差异有统计学意义(P<0.05)；PFNA组并发症发生率显著低于PCCP组(14.75%/26.23%)，差异有统计学意义(P<0.05)。结论 PFNA适宜于各种类型的老年人股骨粗隆间骨折，值得临床广泛推广和应用。
목적：탐토고골근단방선수내정(PFNA)화경피가압강판(PCCP)치료고골조륭간골절(IFF)적림상료효。방법：선취122례IFF환자위연구대상，안환자소선치료방법불동PFNA조여PCCP조，각61례，비교2조환자술중출혈량、병발증발생솔、골절유합시간등변화。결과 PCCP조환자수술시간단우PFNA조，술중출혈량소우PFNA조，술후Harris평분저우PFNA조，차이균유통계학의의(P<0.05)；PFNA조우량적솔우우PCCP조(81.97%/62.30%)；차이유통계학의의(P<0.05)；PFNA조병발증발생솔현저저우PCCP조(14.75%/26.23%)，차이유통계학의의(P<0.05)。결론 PFNA괄의우각충류형적노년인고골조륭간골절，치득림상엄범추엄화응용。
Objective To investigate the Efficacy of Treatment of Geriatric Intertrochanteric Femoral Fractures with Percutaneous Compression Plate (PCCP) and proximal femoral nail anti-rotation(PFNA).Methods A total of 122patients with Intertrochanteric Femoral Fractures were chosen and were divided into the PFNA group(n=61) and the PCCP group(n=61)according to the treatment. The Blood loss, complication rate and fracture healing time were analyzed and compared between two groups.ResultsThe time of operative, blood loss and Harris hip score on PCCP group were shorter than PFNA group,the differences were statistically significant (P <0.05);the rates of excellent on PFNA group were higher than PCCP group(81.97%/62.30%), the difference was statistically significant (P<0.05); the rate of complication on PFNA group was significantly lower than PCCP group(14.75%/26.23%), the difference was statistically significant (P<0.05). Conclusion: PFNA suitable for all types of elderly intertrochanteric fracture, it’s worthy of being widely applied in clinic.