股骨粗隆间骨折DHS与PFNA内固定的微创治疗临床研究

Clinical Research on DHS Intertrochanteric Fracture Fixation With PFNA Minimally Invasive Treatment

目的分析DHS、PFNA内固定治疗股骨粗隆间骨折的临床疗效。方法选取38例股骨粗隆间骨折,根据治疗方法分为DHS组(19例)与PFNA组(19例),对比两组临床疗效。结果 PFNA组手术时间、术中出血量、住院时间以及骨折愈合时间低于DHS组(P<0.05)。PFNA组优良率、并发症发生率优于DHS组(P<0.05)。结论 PFNA内固定治疗,效果较好,术后患者恢复快,并发症少。

Objective To analyze clinical efficacy of DHS and PFNA internal fixation for intertrochanteric fracture. Methods 38 patients with intertrochanteric fracture were divided into DHS group（19 cases） and the PFNA group（19 cases） according to the treatment method, compared the clinical efficacy. Results Operative time, blood loss, hospital stay and fracture healing time in PFNA group were shorter than the DHS group（P〈0.05）. PFNA group had better excellent rate, complication rate than DHS group（P〈0.05）. Conclusion PFNA fixation treatment has obvious effect, rapid postoperative recovery and fewer complications.