PFNA微创与PFN固定手术治疗老年股骨粗隆部骨折的原因思考（药学资料）.docVIP

PFNA微创与PFN固定手术治疗老年股骨粗隆部骨折的原因思考（药学资料） 正文 PFNA微创与PFN固定手术治疗老年股骨粗隆部骨折的原因思考（药学资料） 文1：PFNA微创与PFN固定手术治疗老年股骨粗隆部骨折的原因思考 Comparative study on PFNA minimally invasive and PFN fixed operation in the treatment of elderly patients with femoral intertrochanteric fracture* CHEN Min* （Department of orthopedics， The People’s Hospital of Poyang County， Poyang 333100， China） ABSTRACT Objective： To investigate the efficacy of both the proximal femoral nail anti-rotation （PFNA） minimally invasive operation and proximal femoral nail （PFN） fixation operation in the treatment of the elderly patients with femoral intertrochanteric fracture. Methods： Seventy-three elderly patients with femoral intertrochanteric fracture were randomly divided into an observation group （n=37， treated by PFNA minimally invasive operation） and a control group （n=36， treated by PFN fixation operation）. The efficacy and the postoperative recovery of hip joint were compared between two groups. Results： The time for operation and fracture healing and the amount of bleeding were less in the observation group than in the control group. The excellent rate of postoperative hip joint was significantly higher in the observation group than in the control group while the incidence of complicatio was lower in the observation group than in the control group. All the differences were statistically significant. Conclusion： PFNA minimally invasive operation in the treatment of elderly patients with femoral intertrochanteric fracture has significantly clinical efficacy， can obviously improve the postoperative recovery of hit joint and is worthy of clinical use. KEY WORDS PFNA； PFN； operation therapy； elderly patient； femoral intertrochanteric fracture 股骨粗隆间骨折是老年常见疾病，发病率占骨折约%[1]。常规保守治疗的并发症发生率较高，恢复缓慢，严重影响老年人的身体健康。因此，股骨粗隆间骨折的临床治疗提倡早期手术治疗。股骨近端防旋髓内钉（proximal femoral nail anti-rotation，PFNA）是为股骨粗隆间骨折专门设计的现代型髓内固定系统，在提高患者治疗效果和改善患者生活质量中具有重要的意义[2]。本研究通过PFNA微创与股骨近端髓内针（proximal femoral nail，PFN）固定手术治疗老年股骨粗隆部骨折的临床疗效对比研究，旨在探讨PFNA微创固定手术在老年股骨粗隆部骨