髓外固定和髓内固定系统应用于临床分组治疗股骨粗隆间骨折对比分析和评价.docVIP

髓外固定和髓内固定系统应用于临床分组治疗股骨粗隆间骨折对比分析和评价 　　[摘要] 目的 研究股骨粗隆间骨折患者行髓外固定与髓内固定的临床疗效并进行对比分析与评价。方法 将72例股骨粗隆间骨折患者按手术方式的不同分为两组，各36例，A组患者行切开复位锁定钢板髓外系统内固定（股骨近端锁定板）治疗，B组患者行闭合复位或切开复位股骨近端防旋髓内钉（PFNA）髓内系统内固定治疗，对比两组患者临床疗效并进行分析与评价。 结果 两组在手术时间、出血量、治疗前后髋关节功能的比较上差异无统计学意义（P0.05）。但B组并发症率（8.33%）明显低于A组（19.44%），组间经统计学分析，差异有统计学意义（P0.05）。 结论 股骨粗隆间骨折患者行髓外固定与髓内固定系统均有较好疗效，但髓内固定系统术后并发症发生率明显偏低，在临床治疗中应根据患者情况选择适宜的手术方式，以获得最佳疗效。 　　[关键词] 髓外固定；髓内固定；股骨粗隆间骨折 　　[中图分类号] R687.3 [文献标识码] A [文章编号] 1674-0742（2015）06（c）-0074-03 　　[Abstract] Objective To compare and analyze and evaluate the clinical efficacy of external fixation and intramedullary fixation in the treatment of patients with femoral intertrochanteric fracture. Methods Seventy two patients with femoral intertrochanteric fracture were divided into two groups with 36 cases in each group according to different methods of operation. Patients in Group A underwent external system internal fixation of open reduction locking plate medullary （proximal femoral locking plate） treatment， while those in Group B underwent closed reduction or intramedullary system internal fixation treatment of open reduction proximal femoral nail anti-rotation （PFNA）.Clinical efficacies on patients in two groups were compared， and the analysis and evaluation were made. Results The comparisons in the operation duration， bleeding amount and hip joint function before and after treatment were not significantly different（P 0.05）.But the complication rate of patients in Group B （8.33%） was lower than that of patients in Group A （19.44%）， and the inter-group via statistical analysis satisfied P 0.05， and the differences were significant. Conclusion External medullary fixation and intramedullary fixation system on patients with femoral intertrochanteric fracture deliver better efficacies， but the incidence of postoperative complications of intramedullary fixation system was significantly lower， suitable operation method should be chosen in clinical treatment according to conditions of pati