手术治疗股骨转子间骨折并骨质疏松临床效果评价.docVIP

手术治疗股骨转子间骨折并骨质疏松临床效果评价 　　【摘要】 目的：评价手术治疗股骨转子间骨折并骨质疏松的临床效果。方法：选取2014年1月-2016年 　　10月本院收治的80例股骨转子间骨折并骨质疏松患者作为研究对象，根据随机数字表法分为对照组与观察组，各40例。对照组采用动力髋部螺纹钉（DHS）治疗，观察组采用螺旋刀片型股骨近端髓内钉（PFNA）治疗，对比两组患者手术时间、术中出血量、骨折愈合时间及Harris功能评分情况。结果：观察组手术时间短于对照组，差异有统计学意义（P0.05）。结论：应用螺旋刀片型股骨近端髓内钉治疗股骨转子间骨折并骨质疏松，对患者造成的创伤较少，可以缩短手术时间，减少术中出血量，治疗安全可靠，值得推广应用。 　　【关键词】 股骨转子间骨折； 骨质疏松； 手术治疗； 临床疗效 　　Evaluation of Clinical Effect of Surgical Treatment of Femoral Intertrochanteric Fracture and Osteoporosis/SHI Peng-xu，LI Yue-ting，HUA Kai，et al.//Medical Innovation of China，2017，14（09）：118-121 　　【Abstract】 Objective：To evaluate the clinical effect of surgical treatment of intertrochanteric fractures with osteoporosis.Method：A total of 80 cases with intertrochanteric fractures and osteoporosis in our hospital from January 2014 to October 2016 were selected as the research objects，they were divided into the control group and the observation group according to random number table method，40 cases in each group.The control group was treated with dynamic hip screw（DHS），the observation group was treated with screw blade type proximal femoral nail（PFNA）.The operative time，blood loss，fracture healing time and Harris functional score of the two groups were compared.Result：The operation time of the observation group was shorter than that of control group，the difference was statistically significant（P0.05）.Conclusion：Application of spiral blade proximal femoral intramedullary nail in treatment of intertrochanteric fracture and osteoporosis，the patients caused by trauma less，can shorten the operation time， reduce the amount of bleeding，the treatment is safe and reliable，it is worthy of popularization and application. 　　【Key words】 Intertrochanteric fracture； Osteoporosis； Surgical treatment； Clinical curative effect 　　First-author’s address：The People’s Hospital of Liaoning Province，Shenyang 110000，China 　　doi：10.3969/j.issn.1674-4985.2017.09.034 　　我国老龄化的加剧，导致骨质疏松患者逐年增加，直接或间接暴力引起的股骨转子间骨折为低能量暴力导致，因此老年骨质疏松人群，极易发生股骨转子