INTERTAN髓内钉与滑动髋螺钉治疗老年性粗隆间和粗隆下骨折的临床效果比较

Clinical efficacy comparison of INTERTAN intramuscular nail and sliding hip screw in treatment of elderly intertrochanteric and subtrochanteric fractures

目的研究INTERTAN髓内钉与滑动髋螺钉（DHS）治疗老年性粗隆间和粗隆下骨折的效果。方法选取2012年1月~2014年1月在本院进行治疗的老年粗隆间和粗隆下骨折患者80例,按照随机数字表法分为髓内钉组40例和髋螺钉组40例。比较两组患者的术中出血量、术后引流量、手术时间等,术后3、6个月分别进行视觉模拟评分（VAS）。结果两组手术时间差异无统计学意义（P〉0.05）;髓内钉组术中出血量和术后引流量明显少于髋螺钉组,差异有统计学意义（P〈0.05）。两组患者术后3、6个月VAS评分比较,差异无统计学意义（P〉0.05）。结论髓内钉与髋螺钉治疗老年性粗隆间和粗隆下骨折,髓内钉方式优于髋螺钉方式,在术后恢复、并发症方面两种方式并无明显差异。

Objective To study the clinical efficacy of INTERTAN intramuscular nail and sliding hip screw in treatment of elderly intertrochanteric and subtrochanteric fractures. Methods 80 patients with elderly intertrochanteric and subtrochanteric fractures treated in our hospital from January 2012 to January 2014 were selected,and were randomly divided into intramuscular nail group（40 cases） and hip screw group（40 cases）.The bleeding volume,postoperative drainage volume,operation time of two groups was compared;visual analogue scale（VAS） after 3 and 6 months was statistically analyzed. Results The operation time of two groups had no significant difference（P〉0.05）.The bleeding volume,postoperative drainage volume in intramuscular nail group was less than that in hip screw group,the difference was significance（P〈0.05）.The VAS score after 3 and 6 months of the two groups had no significant difference（P〉0.05）.Conclusion The efficacy of intramuscular nail in treatment of elderly intertrochanteric and subtrochanteric fractures is better than that of hip screw,the recovery and postoperative complications in two ways has no obvious difference.