DHS与PFNA治疗股骨转子间骨折的效果观察.docVIP

DHS与PFNA治疗股骨转子间骨折的效果观察 　　摘要：目的 对比观察股骨转子间骨折经DHS（动力髋螺钉）方法和PFNA（骨近端抗旋髓内钉）方法治疗的不同临床效果。方法随机从我院骨科2012年1月～2013年12月收治的股骨转子间骨折中选取96例进行研究，并根据其入院顺序，随机分为对照组（48例，行DHS治疗）和观察组（48例，行PFNA治疗）。结果 ①经对比，观察组的手术时间、下床时间和住院天数均明显短于对照组，且术中出血量明显少于对照组，组间各指标均存在显著差异，有意义（P0.05）。②经比较，观察组的Harris优良率为93.75%，明显高于对照组的66.67%，组间差异经统计学分析有意义（P0.05）。结论 和DHS相比，股骨转子间骨折经PFNA治疗具有更显著的临床效果，手术的安全性更高，骨折的愈合时间较短，髋关节功能恢复更明显。 　　关键词：DHS；PFNA；股骨转子间骨折；临床效果 　　Discussion on the Effect of DHS and PFNA in the Treatment of Intertrochanteric Fracture 　　LI Jian-yu 　　（Department of Orthopaedics，Bazhou District Peoples Hospital，Bazhong 636000，Sichuan，China） 　　Abstract：Objective To compare intertrochanteric fractures by DHS（dynamic hip screw）method and the PFNA（anti-spin proximal bone intramedullary nail）method for the treatment of different clinical effects.Methods From my orthopedic hospital in January 2012～December 2013 intertrochanteric fracture treated selected 96 cases were studied，and based on its admission order，were randomly divided into control group（48 patients underwent treatment DHS）and observation group（48 patients underwent PFNA treatment）.Results ①By comparison，the observation group operative time，bed time and hospital stay were significantly shorter than the control group，and the blood loss was significantly less than the control group，the index showed that there were significant differences between the groups，significant（P0.05）.②By comparison，the observation group Harris excellent 93.75%，significantly higher than 66.67%of the difference between the groups were statistically meaningful analysis（P0.05）.Conclusion The clinical effects and DHS compared intertrochanteric fracture treatment has been PFNA more significant，surgery is more secure，fracture healing time is shorter，hip function recovery is more obvious. 　　Key words：DHS；PFNA；Intertrochanteric fractures；Clinical effect 　　在骨科的临床诊疗中，对发生在小粗隆下平面和股骨颈基底之间的骨折称之为股骨转子间骨折[1]。老年人是该骨折类型发生的最主要类型，女性的发生率略高于男性[2]。从该骨折临床治疗的实际情况来看，手术治疗是最主要的方式，且已普遍被患者所接受。本文浅谈DHS与PFNA治疗