微创dhs内固定与pfna内固定治疗老年股骨粗隆间-北华大学学报.pdfVIP

第15卷 第3期 北华大学学报(自然科学版) Vol.15 No.3 2014年6月 JOURNAL OF BEIHUA UNIVERSITY(Natural Science) Jun.2014 文章编号:1009-4822(2014)03-0375-04 DOI:10.11713/ j.issn.1009-4822.2014.03.024 微创 DHS 内固定与 PFNA 内固定 治疗老年股骨粗隆间骨折疗效对比分析 王海军 (焦作市中医院,河南 焦作　 454150) 摘要:目的　 探讨微创动力髋螺钉(DHS)内固定与股骨近端螺旋刀片抗旋髓内钉(PFNA)内固定治疗老年股骨 粗隆间骨折的临床效果.方法　 选取老年股骨粗隆间骨折患者106例,根据治疗方案分为两组,53例患者采用微 创DHS 内固定治疗为对照组,53例患者采用PFNA 内固定治疗为观察组,比较两组患者的手术指征、临床疗效、 术后并发症情况.结果　 观察组患者手术时间、术中出血量、术后住院时间、负重时间、骨折愈合时间均明显小于 对照组,观察组患者优良率、术后髋关节Harris评分均明显高于对照组,观察组患者术后并发症发生率明显低于 对照组,差异均具有统计学意义(P0.05).结论　 微创DHS 内固定与PFNA 内固定均是治疗老年股骨粗隆间骨 折的有效方法,其中PFNA 内固定的效果更佳,对患者造成的创伤更小,可显著缩短患者的恢复时间,术后并发 症少,安全性更高. 关键词:微创;DHS 内固定;PFNA 内固定;老年;股骨粗隆间骨折 中图分类号:R247.1 文献标志码:A Comparative Analysis on the Curative Effect of Minimally Invasive DHS and PFNA Internal Fixations in the Treatment of Elderly Femoral Intertrochanteric Fracture WANG Hai-jun (Jiaozuo City Hospital of Traditional Chinese Medicine,Jiaozuo454150,China) Abstract:Objective To investigate the clinical effect of minimally invasive dynamic hip screw(DHS) internal fixation and proximalfemoral nail anti rotation blade(PFNA) internalfixation in the treatment of elderly femoral intertrochanteric fracture.Method 106 elderly patientswithfemoral intertrochantericfracturewere divided into two groups.53 patients treated with minimally invasive DHS internal fixation were taken as control group and53 patients treated with PFNA internal fixation were taken as observation group.The operation indications,clinical efficacy and postoperative complications were compared between two groups. Results The operation time, in