DHS与PFNA在治疗老年股骨粗隆间骨折中的应用比较

The application of DHS and PFNA in the treatment of senile femoral intertrochanteric fracture

目的探讨动力髋关节螺钉内固定(DHS)与股骨近端内固定系统(PFNA)在治疗老年股骨粗隆间骨折中的应用价值。方法选择36例患者使用PFNA内固定(观察组),并与35例使用DHS的患者(对照组)比较术中出血量、手术时间以及术后伤口引流量,以及随访1年后的临床效果。结果观察组术中出血量、手术时间以及术后伤口引流量均显著少于对照组(P<0.05),观察组优良率为94.4%,对照组优良率为74.3%,观察组优良率显著高于对照组(P<0.05)。结论PFNA治疗老年转子间骨折具有较为肯定的临床效果,且其手术时间短、术中出血少、术后恢复快,是一种值得推广的手术方法。

Objective To explore the value of dynamic hip screw （DHS） and proximal femoral nail antirotation （PFNA） in the treatment of elderly femoral intertrochanteric fracture. Methods There were 36 patients used PFNA （the observation group） fixed and 35 cases used DHS （the control group）, the intraoperative blood loss, operative time and postoperative wound drainage, as well as the follow-up of the clinical effect after one year between two groups were compared. Results The amount of blood loss, operative time and postoperative wound drainage volume of the observation group were signifi- cantly less than those of control group （P 〈 0.05）, excellent and good rate of the observation group was 94.4%, which of the control group was 74.3%, excellent and good rate of observation group was significantly higher than that of control group （P 〈 0.05）. Conclusion PFNA treatment for elderly intertrochanteric fracture has a positive clinical effect with short operative time, less blood loss, rapid postoperative recovery, is a surgical methods worthy of promotion.