摘要
目的：比较股骨近端抗旋髓内钉（PFNA）与动力髋螺钉（DHS）两种术式治疗老年股骨粗隆间骨折的疗效.方法：将172例老年股骨粗隆间骨折患者随机分为观察组和对照组各86例,观察组应用股骨近端抗旋髓内钉手术方案,对照组应用动力髋螺钉手术方案,比较两组患者的手术时间、术中出血量、术后引流量、术后并发症发生情况、骨折愈合时间、下地行走时间及术后1年的Harris评分.结果：观察组手术时间、术中出血量、术后引流量均显著少于对照组（P〈0.05）,两组骨折愈合时间、下地行走时间差异无统计学意义（P〉0.05）;观察组并发症发生率显著低于对照组（P〈0.05）,优良率及有效率均显著高于对照组（P〈0.05）.结论：PFNA手术方案可显著缩短手术时间、减少术中出血量、并发症,提高治疗效果,且具有操作简单、骨折固定稳固、创伤小、手术时间短等优势.
Objective：To compare the efficacy of PFNA and DNS for elderly patients with intratrochanteric fracture of femur. Methods：172 cases of elderly patients with intratrochanteric fracture of femur were randomly divided into observation group （86 cases） and control group （86 cases）, the ob-servation group treated by PFNA, while control group by DNS, compared the operation time, intraoperative blood loss, post-operation flow, compli-cations, healing time of fracture, walking time and Harris score at 1 year after operation. Results： The operation time, intraoperative blood loss, post-operation flow were all significantly less than those of control group （P〈0.05）, the difference of healing time and walking time between two groups were not statistically significant （P〉0.05）; the complications occurrence of observation group was significantly lower than that of control group （P〈0.05）, the excellent rate and effective rate were both significantly higher than those of control group （P〈0.05）. Conclusion：The surgical op-tion of PFNA can significantly shorten the operation time, reduce the intraoperative blood loss and occurrence of complications, improve the efficacy, and has some advantages such as simple operation, stable fixation, slight trauma and short operation time.
出处
《按摩与康复医学》
2015年第15期13-16,共4页
Chinese Manipulation and Rehabilitation Medicine
基金
广东省阳江市科研课题,编号:阳卫2013019
