股骨近端抗旋髓钉(PFNA)治疗股骨粗隆间骨折的临床疗效分析.pdfVIP

PFNA treatment of intertrochanteric fractures of the clinical curative effect analysis Speciality：Orthopedics of Chinese Medicine Author：Yu Xinping Tutor：Professor.Han Ming Abstract Objective: PFNA analysis of the treatment of intertrochanteric fractures of the clinical curative effect Methods: Gather the shandong university of Chinese medicine first affiliated hospital orthopaedic since October 2009 to October 2011 PFNA treatment during the use of intertrochanteric fractures in 80 cases 。Observe the treatment process and curative effect, the Harris scoring system to evaluate its postoperative hip function, the treatment effect of the PFNA analysis. Results：The PFNA treatment of 80 patients with a knife surgery are for a duration of healing was good fracture healing, the Harris scoring system to evaluate its postoperative hip function was 87.5%. Conclusion: PFNA treatment of intertrochanteric fractures treated well, its operation time is short, the minimally invasive, fixed and reliable, and clinical promotion. 目 录 引 言 1 临床研究 3 一、一般资料 3 （一）研究对象 3 （二）诊断标准 3 （三）骨折类型 3 （四）纳入标准 4 （五）排除标准 4 （六）剔除标准 5 二、研究方法 5 （一）术前准备 5 （二）手术方法 5 （三）术后处理 6 （四）疗效观察 6 （五）结果 8 讨 论 11 一、祖国传统医学在股骨粗隆间骨折治疗 11 二、近代医学对股骨粗隆间骨折的认识 13 （一）关于股骨粗隆间 13 （二）股骨粗隆间骨折的分型 14 （三）股骨粗隆间骨折的治疗方法 15 结 语 19 参考文献 20 综 述 22 附 录 30 致 谢 32 引 言 临床上股骨粗隆间骨折是一种常见骨折类型，其多发生于股骨颈基底至小粗隆水 【1】 平以上。有关文献显示股骨粗隆间骨折大约占全身骨折的 2% 。股骨粗隆间骨折大 多伴有骨质疏松，临床上多见于老年人。文献报道 90%的髋部骨折发生于 65 岁以上 【2】 的老年人，其中3∕4发生于女性 . 股骨粗隆间骨折的发生率随着年龄的增长而增 长，其原因主要与多种