股骨近端防旋髓内钉内固定术治疗老年患者股骨粗隆间骨折的疗效分析

Clinical effects of proximal femoral nail anti-rotation in treatment of elderly patients with intertrochanteric fracture

目的探讨股骨近端防旋髓内钉内固定术治疗老年患者股骨粗隆间骨折的临床疗效。方法选择2010年10月～2012年10月我院就诊的股骨粗隆间骨折70例老年患者临床资料进行回顾性分析,根据治疗方法不同分为观察组与对照组,每组各35例,观察组采用PFNA治疗,对照组采用DHS治疗。观察比较两组患者手术时间、术中出血量,住院时间及并发症情况,并进行术后髋关节功能评分比较。结果两组患者平均手术时间、出血量、住院时间及并发症发病情况比较,观察组患者均明显少于对照组,差异有统计学意义(P<0.05)。观察组的Harris评分优良率为97.1%明显高于对照组的88.4%,差异有统计学意义(P<0.05)。结论 PFNA治疗老年股骨粗隆间骨折相比DHS固定手术具有术中出血量少、手术时间短、恢复快、治疗效果显著的优点。

Objective To study the clinical effects of proximal femoral nail anti-rotation in treatment of elderly patients with intertrochanteric fracture. Methods The clinical data of 70 elderiy patients with intertrochanteric fracture who were in hospital from October 2010 to October 2012 were retrospectively analyzed. All patients were divided into the control group and the experiment group according to the treatment method,with 35 cases in each group. The experiment group was given PFNA and the control group was treated by DHS. The operation time,intraoperative bleeding,hospitalization time and complications of two groups were observed and compared,and the scores of hip joint function after operation of two groups were compared. Results The average operation time,bleeding volume,the incidence of complications and hospitalization time comparison in the observation group were significantly less than that in the control group,the difference was statistically significant（P 〈 0.05）. The excellent and good rate of Harris score in observation group was 97.1%,significantly higher than that in control group 88.4%,the difference was statistically significant （P 〈 0.05）. Conclusion PFNA in treatment of elderly patients with intertrochanteric fracture is less bleeding,short operation time,rapid recovery compared with DHS,and has the advantages of remarkable curative effect. It is worthy of wide clinical application