抗旋型股骨近端髓内钉在不稳定型股骨转子间骨折治疗中的应用价值分析

Analyze Value of the Treatment of Unstable Intertrochanteric Fractures of the Femoral Intertrochanteric Fractures with Proximal Femoral Nail

目的：分析抗旋型股骨近端髓内钉在不稳定型股骨转子间骨折治疗中的应用价值。方法：本研究选取2012年9月～2013年8月50例不稳定型股骨转子间骨折患者为对象，根据随机数字表法将其随机分组。 A组患者行动力髋螺钉固定，B组行抗旋型股骨近端髓内钉固定。对比分析2组手术时间、出血量、术口长、术后引流量和手术并发症，并随访1年，对比Harris优良率。结果：B组手术时间、术口长明显短于A组，出血量、术后引流量、术后并发症明显少于A组， Harris优良率明显高于A组，有统计学差异（P＜0．05）。结论：抗旋型股骨近端髓内钉在不稳定型股骨转子间骨折治疗中的应用价值高，手术创伤低，安全性高，可减少并发症、术中出血和术后引流量，促进髋关节功能恢复，值得推广。

Objective：To analyze the application value of the treatment of unstable intertrochanteric fractures of the femoral intertro-chanteric fractures with proximal femoral nail.Methods：From September 2012 to August 2013, 50 patients with unstable intertrochanteric fractures were randomly divided into groups according to the random number table method.The action force of the A group was fixed, and the B group was treated with anti rotation proximal femoral nail.The operation time, bleeding volume, length of operation, postoperative drainage and postoperative complications of the two groups were compared and analyzed, and the good rate of Harris was followed up for 1 years.Results：the operation time, the length of operation in B group was significantly shorter than that in A group, the volume of bleeding, postoperative drainage and postoperative complications were significantly less than that of A group, the Harris was significantly higher than that in A group （P 〈0.05）.Conclusion：the application of anti rotation proximal femoral nail in the treatment of unstable femoral intertrochanteric fractures is of high value, low surgical trauma, high safety, can reduce complications, intraoperative bleeding and postoperative drainage, and promote the recovery of hip joint function, it is worth promoting.