不同方式治疗股骨粗隆间骨折疗效对比分析.docVIP

不同方式治疗股骨粗隆间骨折的疗效对比分析 　　摘要：目的 探讨动力髋螺钉（DHS）、股骨近端髓内钉（PFN）、Gamma钉治疗股骨粗隆间骨折的临床疗效。 方法 将一共120例肱骨粗隆间骨折患者分成三个组进行对比，分别采用动力髋螺钉（DHS）、股骨近端髓内钉（PFN）、Gamma钉进行固定，并比较患者术后的恢复情况和疗效。 结果 与DHS组相比，PFN组和Gamma组的住院时间、手术时间和出血量都更少，比较差异有统计学意义（P0.05）。比较三组手术之后的恢复优良率，DHS组优良率为85.00%，PFN组优良率为95.00%，Gamma组优良率为92.50%，PFN组与Gamma组分别和DHS组的差异有统计学意义（P0.05）。比较三组手术之后的并发症发生率，DHS组并发症发生率为10.00%；Gamma钉并发症发生率组为7.50%；PFN组并发症发生率全部愈合，不存在并发症。PFN组分别与DHS组、Gamma钉差异有统计学意义（P0.05）。结论 PFN即股骨近端髓内钉带来的创伤更小，有利于术后恢复，并且具有并发症少的特点，在治疗股骨粗隆间骨折中是比较有效的方法。 　　关键词：探讨动力髋螺钉；股骨近端髓内钉；Gamma钉；股骨粗隆间骨折 　　中图分类号：R687.3 文献标识码：A 文章编号：1006-1959（2017）22-0059-02 　　Abstract：Objective To investigate the dynamic hip screw（DHS），proximal femoral nail（PFN），Gamma nail in treatment of femoral intertrochanteric fractures.Methods A total of 120 cases of intertrochanteric fractures were divided into three groups were compared respectively with dynamic hip screw（DHS），proximal femoral nail（PFN），Gamma nail fixation，and postoperative recovery condition and curative effect.Results Compared with DHS group，PFN group and Gamma group，hospitalization time，operation time and blood loss were less，the difference was statistically significant（P0.05）.After the comparison of three groups of surgery of recovery rate，group DHS the excellent rate was 85.00%，PFN group was 95.00%，Gamma group was 92.50%，PFN group and Gamma group respectively with significant differences in the DHS group（P0.05）.The incidence of complications after surgery were compared between the three groups，DHS group complication rate was 10.00%；the complication rate of Gamma nail group was 7.50%；the complication rate in PFN group were all healed，no complications.PFN group and DHS group，Gamma nail，the difference was statistically significant（P0.05）. Conclusion PFN proximal femoral nail has less trauma，conducive to postoperative recovery，and has less complications and in the treatment of intertrochanteric fracture is a more effective method. 　　Key words：To explore the dynamic hip screw；Proximal femoral nail；Gamma