微创股骨近端防旋髓内钉治疗老年股骨粗隆间骨折临床分析

Clinical Study of Minimally Invasive Proximal Femoral Nail in Treatment of Intertrochanteric Fractures in Elderly Patients

目的分析微创股骨近端防旋髓内钉治疗老年股骨粗隆间骨折的临床效果。方法将2015年3月-2016年3月在我院进行治疗的50例老年股骨粗隆间骨折患者计算机随机分成两组作为研究对象,每组25例。观察组采取微创股骨近端防旋髓内钉治疗,对照组实施动力髋螺钉治疗。比较两组患者的手术用时、术中出血量、术后引流量、住院天数、骨折愈合时间、不同阶段的Harris评分及并发症发生率。结果与对照组患者相比,观察组患者的手术用时、住院天数、骨折愈合时间更短,术中出血量及术后引流量更少,并发症发生率更低,治疗后一个月的Harris评分更高(P<0.05)。结论微创股骨近端防旋髓内钉是治疗老年股骨粗隆间骨折的有效方法。

Objective To analyze the clinical effect of minimally invasive proximal femoral nail in the treatment of intertrochanteric fractures in elderly patients. Methods 50 elderly patients with intertrochanteric fracture who were treated in our hospital from March 2015 to March 2016 were randomly divided into two groups as the research object, with a total of 25 cases. The observation group was treated with minimally invasive proximal femur anti rotation intramedullary nail, while the control group was treated with dynamic hip screw. The operative time, intraoperative blood loss, postoperative drainage volume, hospital stay, fracture healing time, Harris score at different stages and complications were compared between the 2 groups. Results Compared with the control group, the observation groupof patients with operation time, hospitalization time, healing time is shorter than the fracture flow, less bleeding and postoperative drainage, lower complication rates, one month after treatment Harris score higher（P〈0.05）. Conclusion Minimally invasive proximal femoral nail is an effective method for treatment of intertrochanteric fractures in elderly patients.