不同手术体位在PFNA治疗股骨粗隆间骨折中应用效果比较.docVIP

不同手术体位在PFNA治疗股骨粗隆间骨折中的应用效果比较 　　[摘要]目的 分析应用股骨近端内固定系统（PFNA）治疗股骨粗隆间骨折的两种手术体位（仰卧位与侧卧位）的临床效果，为治疗股骨粗隆间骨折患者提供科学的数据参考。方法 选取本院2014年6月～2016年2月收治的40例股骨粗隆间骨折患者作为研究对象，按照入院顺序随机分为观察组与对照组，每组均为20例。对照组应用平卧位PFNA手术方法，观察组应用侧卧位PFNA手术方法。比较两组患者的治疗优良率、切口长度、术中出血量、手术时间。结果 观察组的优良率为95%（19/20），对照组的优良率为90%（18/20），两组患者的优良率比较差异无统计学意义（P0.05）；观察组切口长度、术中出血量、手术时间与对照组比较差异有统计学意义（P0.01）。结论 侧卧位与仰卧位应用于PFNA治疗股骨粗隆间骨折患者中的临床优良率均较好，且侧卧位患者的手术切口小，术中出血量少，手术时间较短。 　　[关键词]侧卧位；仰卧位；PFNA；股骨粗隆间骨折；临床治疗效果 　　[中图分类号] R687.3 [文献标识码] A [文章编号] 1674-4721（2016）07（a）-0106-03 　　[Abstract]Objective To analyze the clinical effect of two kinds of operation position （supine position and lateral position） in treating intertrochanteric fracture by using proximal femoral fixation system （PFNA） and to provide scientific data reference for the treatment of intertrochanteric fracture.Methods 40 intertrochanteric fracture patients from June 2014 to February 2016 of two hospital （both were our hospital） were selected as study objects.Patients were randomly divided into observation group and control group according to the admission order，and each group was 20 cases.Patients in control group were used supine position PFNA，and patients in observation group were used lateral position PFNA.Two groups of patients with the treatment better rate， incision length， intraoperative blood loss， operating time were compared.Results The better rate in observation group and control group were respectively 95%（19/20）and 90%（18/20），the difference of better rate between observation group and control group had no statistical significance （P0.05）；the incision length，average operation time and average bleeding volume in observation group had no statistical significance compared with control group （P0.01）.Conclusion Using supine position and lateral position of PFNA treating intertrochanteric fracture has better clinical better rate，and the patients in lateral position with small operation incision，less bleeding volume during operation and shorten operation time