DHS和PFN固定治疗老年股骨粗隆间骨折疗效对比

Comparison of Curative Effect Between DHS and PFN in the Treatment of Elderly Patients With Intertrochanteric Fracture

目的比较动力髋螺钉（DHS）与股骨近端髓内钉（PFN）固定治疗老年股骨粗隆间骨折疗效。方法选择我院2013年2月~2015年2月收治的82例老年股骨粗隆间骨折患者,随机分为对照组和治疗组,比较两组患者术中及术后各指标,临床疗效。结果观察组患者髋关节恢复总有效率87.80%,对照组总有效率80.49%,两组比较差异无统计学意义（P〉0.05）。结论股骨近端髓内钉固定与动力髋螺钉固定治疗老年股骨粗隆间骨折效果相仿,创伤小,手术时间短。

Objective To compare the therapeutic effect of dynamic hip screw（DHS） and proximal femoral nail（PFN） fixation in the treatment of elderly patients with femoral intertrochanteric fractures.Methods From Feb.2013 to Feb.2015,82 cases were randomly divided into control group and treatment group,compared the effect and other indications.Results The total effective rate was 87.80% in the observation group and 80.49% in control group.The difference was not significant（P〉0.05）.Conclusion The effect of proximal femoral nail fixation and dynamic hip screw fixation in the treatment of elderly patients with femoral intertrochanteric fracture is similar,the wound is small,the operation time is short.