老年股骨粗隆间骨折患者行PFNA与DHS治疗的手术效果

Effect of PFNA and DHS in the Treatment of Elderly Patients with Femoral Intertrochanteric Fracture

目的探究股骨近端抗旋髓内钉(PFNA)以及动力髋螺钉(DHS)治疗老年股骨粗隆间骨折的临床效果。方法选取2010年1月至2014年12月在我院治疗的老年股骨粗隆间骨折患者62例,按照随机分组原则将其分为对照组和观察组,分别31例,对照组患者采用DHS治疗,观察组患者则采用PFNA进行治疗,对比两组患者的临床治疗效果以及治疗过程中的并发症发生情况。结果观察组手术时长、术中出血量、切口长度以及术后引流量均显著优于对照组;观察组骨折愈合时间、住院时长、并发症发生率均显著低于对照组;观察组术后Parker髋关节功能评定优良率明显高于对照组;差异均具有统计学意义(P<0.05)。结论在老年股骨粗隆间骨折的临床治疗中应用PFNA进行固定治疗能够显著改善患者的临床治疗效果,优化其手术治疗相关指标,值得在临床上推广应用。

Objective To explore the clinical effect of proximal femoral nail anti-rotation （PFNA） and dynamic hip screw （DHS） fixation in the treatment of elderly femoral intertrochanteric fractures. Methods 62 cases of elderly patients with femoral intertrochanteric fractures treated in our hospital from January 2010 to December 2014 were selected and divided into control group and observation group in accordance with random number table. The control group （31 cases） was treated with DHS, the observation group （31 cases） was treated with PFNA. The clinical effect and complications were compared between the two groups. Results The operation time, bleeding volume during operation, length of incision and postoperative drainage volume of the observation group were significantly better than those of the control group;the fracture healing time, hospitalization time and incidence of complications of the observation group were significantly lower than those of the control group;the excellent and good rate of Parker hip joint function of the observation group was significantly higher than that of the control group;all the difference was statistically significant （P〈0.05）. Conclusions PFNA fixation in treatment of elderly femoral intertrochanteric fractures can significantly improve the patient＇s clinical treatment effect, optimize its operation related indicators, which is worthy of promotion in clinic.