动力髋螺钉与股骨近端髓内钉治疗股骨转子间骨折临床分析.pdfVIP

安徽医科大学硕士毕业论文 16.0±2.2 ｄ, 46.9±4.9 ｄ, 11.3±0.7ｗ，97%，住院时间，术后下床时间，骨折临床 愈合时间，比较差异有统计学意义(p0 ．05) 。髋关节功能(Harris 评分标准)优良 率, 两组比较无统计学意义(Po ．05) 。并发症发生率，A 组：40% ；B 组：10%。 经比较差异均有统计学意义(P0.05) 。 结论： 1 对于稳定性骨折 Evens Ⅰ型, Ⅱ型可使用 DHS 固定，对于不稳定性骨折 EvensⅢ型，Ⅳ型，Ⅴ型可根据情况慎重使用 DHS 固定，且术后需用防旋鞋和 皮牵引外展位固定，延长下床活动时间。 2 PFN 内固定治疗稳定性骨折Evens Ⅰ型, Ⅱ型，不稳定性骨折EvensⅢ型，Ⅳ 型，Ⅴ型股骨转子间骨折，取得了良好的效果。 3 股骨转子间骨折PFN 组与DHS 组固定相比较,PFN 组具有手术创伤小,出血 少,骨折愈合时间短,术后功能恢复快, 并发症发生率低等特点,值得临床上推广。 关键词：股骨转子间骨折 动力髋螺钉 股骨近端髓内钉 2 安徽医科大学硕士毕业论文 Clinical Research On Dynamic Hip Screw And Proximal Femoral Nail In Treating Intertrochanteric Fractures Abstract ： Objective ：To compare and analysis curative effect of dynamic hip screw(DHS) and proximal femoral nail(PFN) in the treatment of intertrochanteric fractures. Methods ：From January 2006 to December 2009 , 35 males and 25 females; aged from 40 to 78 years, with the average of 62.8 years; Course of disease from 2 to 12 days, with the average of 5.6 days, without associated injuries. Dynamic hip screw (DHS) group is A group: 30 patients, proximal femoral nail (PFN) group is B group: 30 patients. According to Evans classification standard of Intertrochanteric fractures, A Group: Ⅰtype 6 cases, Ⅱtype 6 cases, Ⅲtype 10 cases, Ⅳtype 3 cases, Ⅴtype 5 cases; B group: Ⅰtype 5 cases, Ⅱtype 8 cases , III type 11 cases, Ⅳtype 3 cases, Ⅴ type 3 cases. In the respect of the average length of the incision, operation time, blood loss, X-ray exposure times, postoperative drainage volume, blood transfusion volume, hospitalization time, postoperative ambulation time, healing time of fracture, criteria of Harris hip function score after half a year, complication rate, this paper made the comparative analysis of clinical effica