应用PFNA治疗股骨粗隆间骨折短期效果观察.docVIP

精品论文 参考文献 应用PFNA治疗股骨粗隆间骨折短期效果观察 岳阳市一人民医院骨关节科 湖南岳阳 414000 【摘 要】目的：观察股骨粗隆间骨折应用股骨近端防旋髓内钉（PFNA）内固定手术短期治疗效果。方法：选取我院收治的股骨粗隆间骨折患者84例，分为对照组与治疗组各42例，对照组应用动力髋螺钉（DHS）治疗，治疗组应用股骨近端防旋髓内钉（PFNA）治疗，对比两组患者治疗后的短期临床疗效。结果：治疗组患者的术中出血量明显少于对照组，手术时间明显短于对照组，对比两组差异有统计学意义（Plt;0.05）；术后3月对照组的优良率为73.8%，治疗组的优良率为92.9%，治疗组明显高于对照组，对比两组差异有统计学意义（Plt;0.05）。结论：应用PFNA内固定治疗股骨粗隆间骨折的临床疗效显著，具有术中出血量少、手术时间短、术后恢复快及功能好等优势，值得推广。 【关键词】股骨粗隆间骨折；PFNA；内固定；股骨近端防旋髓内钉；动力髋螺钉 Observation of therapeutic effect of intertrochanteric fracture Zoushu Department of bone and joint，a people s Hospital of Yueyang Yueyang Hunan 414000 [Abstract]Objective：To observe the therapeutic effect of femoral intertrochanteric fracture.Methods：84 patients admitted to our hospital for femoral intertrochanteric fracture were divided into control group and treatment group with 42 cases in each group，the control group treated with dynamic hip screw，the treatment group was treated by PFNA internal fixation.The clinical efficacy of the two groups were compared after treatment.Results：the amount of bleeding of patients in the treatment group were significantly lower than the control group，the operation time was shorter than the control group，there were statistically significant differences between the two groups（Plt;0.05）；the excellent rate of control group was 73.8%，the excellent rate was 92.9% in treatment group，the treatment group was significantly higher than the control group，the two group was statistically different meaning（Plt;0.05）.Conclusion：the clinical effect of PFNA internal fixation in the treatment of femoral intertrochanteric fracture is significant.It has the advantages of less blood loss，shorter operation time and so on. [keyword]femoral intertrochanteric fractures；PFNA internal fixation；dynamic hip screw 股骨粗隆间骨折为临床上一种常见的骨质疏松性骨折，是发生于股骨颈基底与股骨之间粗隆段的骨折，患者以老年人居多，尤其是高龄老年人[1]。因为老年患者的身体机能较差，术后常会诱发多种并发症，因此，选择一种更有效的治疗方法非常重要。本研究为了进一步观察股骨粗隆间骨折的治疗效果，选取了我院于2015年1月到2016年9月期间收治的84例患者的临床资料进行分析，并对比了术后3月DHS与PFNA内固定治疗的临床效果，现报告如下。