老年股骨粗隆间骨折患者固定方式选择及效果研究

Effect of selection and fixation of fracture among elderly patients with intertrochanteric

目的:选择不同固定方式在老年股骨粗隆间骨折患者治疗中的疗效。方法:选取2013年11月-2015年11月某医院所接收老年股骨粗隆间骨折患者94例,采用动力髋螺钉固定方式(DHS)治疗的50例,Gamma钉固定的18例,国产改良股骨近端髓内钉(PFN)固定的26例。对手术的时间、术中出血量、Harris评分、并发症等指标进行对比。结果:三种固定方式在手术时间、住院时间、功能评分优良率方面差异无统计学意义(P>0.05)。但是,就术中出血量、术后并发症、下地负重时间、引流量等方面,采用PFN固定方式显著优于其他两组固定治疗方式(P<0.05)。结论:PFN固定治疗方式具有创伤小、出血量少、下地负重时间短等优势,较其他两种固定方式而言,具有更好的临床疗效。

Objective：To select a different effect in a fixed manner among elderly patients with intertrochanteric fracture therapy.Methods：November 2013 to November 2015, I received institutes intertrochanteric fracture among elderly patients with 94 cases, 50 cases of the use of dynamic hip screw fixation （DHS） therapy,Gamma nail in 18 cases, improved domestic proximal femoral end of the intramedullary nail （PFN） fixed in 26 cases.Compared to the time of surgery, blood loss,Harris score, complications and other indicators.Results：The three fixed manner in operative time, hospital stay,no significant difference （P〉0.05） functional score excellent rate.However,the blood loss, postoperative complications, weight-bearing ambulation time, drainage, etc, using the PFN fixation was significantly better than the other two groups of fixed treatment （P〈0.05）.Conclusion：PFN fixation treatment with less trauma, less bleeding, weight-bearing time is short and other advantages,than the other two fixed ways,has the better clinical efficacy.