老年人不稳定型转子间骨折的两种手术方式比较.docVIP

老年人不稳定型转子间骨折的两种手术方式比较 　　[摘要] 目的 比较股骨近端抗旋髓内钉（PFNA）与股骨近端锁定加压钢板（PF-LCP）治疗老年不稳定型转子间骨折的疗效。 方法 选取武汉大学人民医院骨科2010年11月～2012年12月期间收治的60例股骨转子间骨折患者，根据患者接受的手术方法，分成PFNA组和PF-LCP组，每组各30例。观察两组的手术指标（手术时间、术中出血量、切口长度）、术后负重时间、骨折愈合的时间、髋关节功能评分、术后并发症进行比较。 结果 PFNA组手术时间、术中出血量、切口长度均优于PF-LCP组，差异有统计学意义（P 0.05）。 结论 对于老年不稳定性股骨转子间骨折患者，股骨近端抗旋髓内钉固定治疗股骨近端转子间骨折可以有效减少患者术后的并发症，减少了患者的痛苦，改善患者预后，更有利于患者术后功能恢复，值得临床应用及推广使用。 　　[关键词] 不稳定；转子间骨折；髓内钉；锁定加压 　　[中图分类号] R274.1 [文献标识码] A [文章编号] 1673-7210（2016）10（a）-0036-04 　　Comparision of two operation methods of unstable intertrochanteric hip fractures in elder patients 　　YANG Hui QIU Bo 　　Department of Orthopaedics， Renmin Hospital of Wuhan University， Hubei Province， Wuhan 430060， China； 　　[Abstract] Objective To compare efficacy of proximal femoral nail anti-rotation （PFNA） with proximal femoral locking compression plate （PF-LCP） for elderly patients with unstable intertrochanteric fractures. Methods 60 patients with intertrochanteric fracture in Department of Orthopaedics， Renmin Hospital of Wuhan University from November 2010 to December 2012 were divided into two groups： proximal femoral nail anti-rotation （PFNA） group and proximal femoral locking compression plate （PF-LCP） group depending on surgical approaches. Surgical indicators （operative time， blood loss， length of incision） were observed. Besides， other posteroperative indicators， such as postoperative weight-bearing time， fracture healing time， hip score and postoperative complications were compared between two groups. Results Operative time， blood loss， length of incision of patients in PFNA group were superior to those of patients in PF-LCP group and the differences were all statistically significant （P 0.05）； load days， fracture healing time of patients in PFNA group were better than those of patients in PF-LCP group and the differences were statistically significant （P 0.05）； Patients in PFNA group achieved higher postoperative Harris score than the PF-LCP group. Conclusion For senile u