股骨近端髓内钉与动力髋螺钉在股骨粗隆部骨折治疗中的效果对比分析

Comparative analysis on clinical efficacy of proximal femoral nail and dynamic hip screw for the treatment of intertrochanteric fracture

目的比较股骨近端髓内钉(PFN)与动力髋螺钉(DHS)治疗股骨粗隆部骨折的临床效果。方法选取本院收治的30例股骨粗隆部骨折患者,随机均分为对照组和观察组,对照组采用DHS内固定术治疗,观察组采用PFN内固定术治疗,比较两组患者的手术时间、术中失血量、髋关节功能优良率和并发症发生率的差异。结果观察组患者的手术时间短于对照组,术中失血量少于对照组(P<0.05);术后观察组髋关节功能优良率为93.3%,与对照组的86.7%比较,差异无统计学意义(P>0.05);观察组并发症发生率为6.7%,显著低于对照组的20.0%(P<0.05)。结论 PFN治疗股骨粗隆部骨折的疗效确切,具有微创、骨折固定牢固和并发症少等优点,优于DHS的治疗效果。

Objective To compare the clinical efficacy of proximal femoral nail（PFN） and dynamic hip screw（DHS） for the treatment of intertrochanteric fracture. Methods 30 cases of intertrochanteric fracture in our hospital were randomly divided into control group and observation group.The control group was received DHS internal fixation treatment.The observation group was received PFN internal fixation treatment.The operative time,intraoperative blood loss,excellent rate of hip function and complication rates of two groups were compared. Results The operative time and intraoperative blood loss of observation group were significantly lower than control group（P0.05）.The excellent rate of hip function of observation group was 93.3%,which had no significant difference with 86.7% of control group（P0.05）.The complication rates of observation group was 6.7%,which was significantly lower than 20.0% of control group（P0.05）. Conclusion Proximal femoral nail for the treatment of intertrochanteric fracture has exact effect with minimally invasive,fracture fixation and fewer complications,which was significantly better than dynamic hip screw.