闭合复位PFN与切开复位DHS治疗股骨粗隆间骨折疗效比较

Comparation of efficacy between closed reduction with PFN and open reduction with DHS in treatment of intertrochanteric fracture

目的对应用PFN与DHS治疗股骨粗隆间骨折的临床疗效进行回顾性分析。方法选取中国医科大学附属盛京医院脊柱创伤骨科52例股骨粗隆间骨折的患者,28例采用闭合复位PFN内固定术,24例采用切开复位DHS内固定术,分析两组手术时间、术中出血量、术后平均住院日和术后髋关节Harris功能评分。结果 PFN组手术时间更短,术中出血量更少,术后平均住院日缩短(P<0.01),Harris功能评分更高(P<0.05)。结论 PFN具有技术成熟,手术时间短,术中出血少,术后平均住院日低,术后效果更好等优点,在临床中值得广泛推广。

Objective To analyze the clinical efficacy between PFN and DHS retrospectively. Methods Among 52 pa dents with intertrochanteric fractures,28 cases were treated with PFN,24 cases were treated with DHS. To analysis the operative time,blood toss,the mean length of stay times and Harris hip function score. Results PFN group had less operative time, less blood loss, less postoperative length of staying time （P~ 0. 01 }, postoperative Harris hip function score was higher（ P（0.05 ）. Conclusion PFN has the mature technology, shorter operative time, less bleed- ing and lower average hospital staying time and the postoperative affection is better, et al. PFN should be widely promoted in the clinic.