摘要
目的探讨PFNA内固定治疗老年股骨粗隆间骨折的临床效果。方法 60例老年股骨粗隆间骨折患者,根据随机数字表法分为治疗组与对照组,每组30例,治疗组给予股骨近端抗旋髓内钉(PFNA)内固定治疗,对照组给予动力髋螺钉(DHS)内固定治疗。结果治疗组的术中出血量和术后住院时间明显少于对照组(P<0.05)。治疗组患者术后3个月内的髋内翻、患肢短缩、深静脉血栓、骨不连等并发症发生情况明显少于对照组(P<0.05),所有并发症经过对症治疗后都好转。结论 PFNA内固定治疗老年股骨粗隆间骨折能减少对于患者的创伤,降低术后并发症的发生,值得推广应用。
Objective To discuss the clinical effect of PFNA internal fixation in the treatment of elderly patients with femoral intertrochanteric fracture. Methods 60 cases of elderly patients with femoral intertrochanteric fracture divided into treatment group and control group according to random number table, 30 cases in each. Treatment group received PFNA internal fixation, control group accepted DHS internal fixation. Results The amount of blood loss and postoperative hospital time in treatment group were significantly less than control group（P 〈0.05）. Coxa vara, limb shortening, deep vein thrombosis, nonunion and other complications in treatment group within 3 months after operation were significantly less than control group（P 〈0.05）. All the complications were improved after symptomatic treatment. Conclusion PFNA internal fixation in treatment of elderly patients with intertrochanteric fracture can reduce the trauma and occurrence of postoperative complications, worthy of popularization and application.
出处
《中国医药指南》
2016年第8期148-149,共2页
Guide of China Medicine
