摘要
目的观察股骨近端防旋髓内钉(Proximal femoral nail,PFN)治疗股骨转子下骨折(Subtrochanteric fracture,SF)的疗效。方法选取2010-09—2013-09间接受PFN治疗的88例SF患者为研究对象。以数字法随机分成观察组(46例)和对照组(42例)。对照组实施动力髋螺钉(Dynamic hip screw,DHS)术式,观察组实施PFN术式。随访6个月,对比两组疗效及并发症情况。分析PFN术式的优点和临床适用范围。结果观察组的优良率为95.65%(44/46),显著高于对照组的73.81%(31/42),差异有统计学意义(P<0.05)。观察组的切口长度和骨折愈合时间均显著少于对照组,但手术时间和术中出血量显著多于对照组,差异均有统计学意义(P<0.05)。观察组的并发症发生率为17.39%(8/46),对照组为16.67%(7/42),差异无统计学意义(P>0.05)。结论PFN治疗SF,疗效好、安全性高。但应注意其适用范围,从而达到最佳治疗效果。
Objective To study clinical use of proximal femoral nail in the treatment of subtrochanteric fracture. Methods From September 2012 to September 2013 88 cases of SF patients treated in our hospital for the study. Digital randomly divided into observation group( 46cases) and control group( 42 cases). The control group was treated with dynamic hip screw( Dynamic hip screw,DHS) procedure,and the observation group was treated with PFN surgical,follow- up six months,respectively compared the two groups as well as two sets of surgical complications and clinical analysis of the advantages and scope of PFN surgical procedures. Results The excellent rate of the observation group was 95. 65%( 44 /46),which was significantly higher than the control group of 73. 81%( 31 /42),the difference was statistically significant( P <0.05). The observation group's incision length and fracture healing time was significantly less than the control group,but the operation time and blood loss was significantly higher than the control group,the differences were statistically significant( P < 0. 05). Complications occurred in the observation group was 17. 39%( 8 /46),the control group was 16. 67%( 7 /42),compared two groups in terms of complications,the difference was not statistically significant( P > 0. 05). Conclusion PFN treatment of disease SF,has better efficacy and safety was high,but it should be noted in the clinical range,so as to achieve the best therapeutic effect. Which is worthy of attention.
出处
《河南外科学杂志》
2014年第4期18-20,共3页
Henan Journal of Surgery
