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EPFN与PFNA Ⅱ治疗股骨转子间骨折的效果比较 被引量：7

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摘要 目的比较股骨近端膨胀髓内钉(EPFN)与亚洲型股骨近端螺旋刀片抗旋髓内钉(PFNAⅡ)治疗股骨转子间骨折的效果。方法对86例股骨转子间骨折患者行闭合复位内固定术,回顾分析获得随访的56例患者的临床资料,根据术中使用内固定情况分为EPFN组(26例)和PFNAⅡ组(30例),术后随访(18.6±?)个月,并对两组术中操作不当发生率及术后并发症发生情况、手术时间、术中出血量,术后下地时间、骨折临床愈合时间及髋关节Harris评分进行对比。结果两组患者均未发生切口感染、股骨头切割或坏死、下肢深静脉血栓形成及明显髋内、外翻畸形等并发症,术后髋关节功能恢复良好,术后下地时间、骨折临床愈合时间、髋关节Harris评分两组差异无统计学意义(P>0.05)。PFNAⅡ组较EPFN组术中操作不当及术后大腿疼痛发生率低,手术时间短,术中出血量少,差异有统计学意义(P<0.05)。结论 EFNA及PFNAⅡ治疗股骨转子间骨折的效果满意,PFNAⅡ更符合国人股骨近端的解剖结构,手术更加方便、快捷,术中操作不当及术后大腿疼痛发生率低。
作者 李光 陆晴友 潘玉涛 刘林 韩庆辉
机构地区 同济大学附属东方医院急救创伤科
出处 《广东医学》 CAS CSCD 北大核心 2014年第6期890-892,共3页 Guangdong Medical Journal
关键词 股骨近端膨胀髓内钉 亚洲型股骨近端螺旋刀片抗旋髓内钉 股骨转子间骨折
分类号 R683.42 [医药卫生—骨科学]
  • 相关文献

参考文献10

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二级参考文献13

  • 1叶一林,柴卫兵,朱天岳,卢宏章,李军,刘宪义.股骨粗隆间骨折内固定手术后并发症原因分析[J].中国矫形外科杂志,2005,13(12):890-892. 被引量：59
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  • 3彭庄,祝建光,蔡俊丰,黄宇峰.可膨胀股骨近端髓内钉治疗老年股骨转子部骨折[J].中华创伤骨科杂志,2006,8(8):783-784. 被引量：7
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共引文献66

同被引文献54

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引证文献7

二级引证文献38

广东医学
2014年 第6期

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