摘要
目的:比较动力髋螺钉(DHS)和股骨近端髓内钉(PFN)两种内固定方式治疗68例老年股骨粗隆间骨折临床疗效。方法:将68例股骨粗隆间骨折老年患者随机均分为两组,分别采取DHS和PFN不同内固定方式进行治疗,比较两组的术中出血量、手术时间、术后疗效及术后并发症发生率。结果:PFN组的优良率为91.18%,明显高于DHS组的70.59%(P=0.031<0.05);PFN组的术中出血量、手术时间及愈合时间均优于DHS组(P均<0.05)。PFN组的并发症发生率为2.94%,低于DHS组的17.65%(P=0.046<0.05)。结论:PFN较DHS固定方式治疗老年股骨粗隆间骨折更有效,并发症少,安全性大。
Objective: To compare the clinical efficacy of DHS and PFN in the treatment of 68 cases of elderly intertrochanteric fracture. Methods: 68 cases of elderly intertrochanteric fracture were randomly divided into two groups,were taken with two different fix- ation methods: DHS and PFN,and compared the blood loss, operative time, postoperative efficacy and the incidence of postoperative complications. Results: The excellent rate in PFN group was 91.18%, significantly higher than 70.59% in DHS group(P=0.031〈0.05). The blood loss, operation time and healing time in PFN group were better than that in DHS group (P〈0.05). The incidenceof complica- tions in PFN was 2.94%, lower than 17.65% in the DHS group (P=0.046〈0.05). Conclusion: Compare with DHS fixation, PFN in the treatment of elderly intertrochanteric fracture is more effective, fewer complications and security.
出处
《现代生物医学进展》
CAS
2013年第36期7094-7096,共3页
Progress in Modern Biomedicine
关键词
粗隆间骨折
股骨
老年
内固定
Intertrochanteric fracture
Femur
Elderly
Fixation