PFLCP与PFNA内固定治疗老年股骨粗隆间骨折的疗效分析.docxVIP

PFLCP与PFNA内固定治疗老年股骨粗隆间骨折的疗效分析 吴椰明 赵海燕 刘海生 邯郸市人民医院骨科 河北 邯郸 0 5 6 0 0 1 【摘要】目的 探讨股骨近端锁定钢板(PFLCP)与股骨近端防旋髓内钉(PFNA) 治疗老年股骨粗隆间骨折的临床疗效?方法 对6 5例老年股骨粗隆间骨折患者 釆用PFLCP内固定2 8例(PFLCP组),PFNA内固定治疗3 7例(PFNA组).比较两组 的手术时间、术中透视时间、术中出血量、下地负重时间、术后并发症发生率、 Harris评分优良率六项指标?结果 两组在手术时间、术中出血、下地负重时间及 术后并发症发生率方面差异有统计学意义(PV 0?0 5 ),而在术中透视时间和 Harris评分优良率方面，差异无统计学意义(P0?0 5 ).结论PFNA内固定手术 时间短、创伤小、出血少、下地早、并发症少，较PFLCP组具有显著优势，而PFLCP 内固定用于治疗Evans I 一山型股骨粗隆间骨折也可以取得良好的临床效果. 【关键词】股骨粗隆间骨折；老年；股骨近端锁定钢板；股骨近端防旋髓内 钉；内固定 ThecurativeeffectanalysisofinterfixationbyPFLCPorPFNAtotreatthese nilityfemorali nter trochantericfracture WUYe —ming,ZHAO Hai—yan,LIU Hai —sheng (DepartmentofOrthopedics,Peoplersquo;sHospitalof Handan,HebeiProvince, 0 5 6 0 0 1 ,China) [Abstract] ObjectiveT 0 explorethecli n ica leu rat i veeffectof i nterfixation totreatthese nilityfemorali ntertrocha nte ricfracturebyPFLCPorPFNA. Meth G odtherewere 6 5 patientswithsenilityfemoralintertrochantericfracturetobestudied? Amongthem, 2 8 casesweretreatedwithPFLCP(groupofPFLCP),theother 3 7 casesweretreatedwithPFNA(groupofPFNA). Thedurationofoperation、durationofX — rayexposure intraoperativequantityofbleeding、postoperationtimeforweightbearing、 rateofpostoperatio ncomplicati on andHarrisgradewerecomparedbetweenthetwogrou ps. Resultthereweredifferencesindurationofoperation、 intraoperativequantityofbleeding、intraoperativequantityofbleeding、 postoperatio ntimeforweightbeari ng、 rateofpostoperatio ncomplicati on betwee nthetwogroups,a ndthedeffere ncehavestatist icalsigrdficance(P 0 . 0 5 ),meanwhile,therewerenostatisticalsignificancebetweenthetwogroupsindurationof X—rayexposureandHarmrsquo;sgrade(P 0 ? 0 5 ). ConclusionThegroupofPFNAhashasadvantageoverthePFLCPgroupinitrsquo;ssh orterdurati ono foperationzsmalleroperati on wou nd」esserintraoperativequa ntityofblee ding,earliertimeforpostoperati on weight— bearing,andlesserrateofpostoperationcomplication. HoweverPFLCPalsohasgoodcIini calresultintreatmentofsenilityfemoralintertrochantericfractureifEvans I —I