股骨粗隆间骨折闭合复位PFNA内固定的临床分析

Clinical Analysis of Closed Reduction PFNA Internal Fixation for Femoral Intertrochanteric Fractures

目的探讨股骨粗隆间骨折闭合复位PFNA内固定治疗的临床效果。方法随机选择2014年1月—2016年2月间的100例股骨粗隆间骨折患者,随机将其分成观察组与对照组(每组50例),对照组采取闭合复位DHS内固定治疗,观察组采取闭合复位PFNA内固定治疗,比较2组患者的手术情况、恢复情况以及术后并发症的情况。结果 (1)观察组的手术时间较对照组短,术中出血量少于对照组,差异有统计学意义[(37.52±7.92)min vs.(55.45±10.36)min,(30.16±4.87)mL vs.(73.09±10.58)mL](P<0.05);(2)观察组伤口愈合时间较对照组短,下床活动时间较对照组提前,差异有统计学意义[(11.35±2.54)d vs.(15.37±2.82)d,(33.36±7.15)d vs.(40.54±7.83)d](P<0.05);(3)观察组疗效优良率高于对照组(96.0%vs.82.0%)(P<0.05);(4)与对照组相比,观察组患者的并发症发生率更低(4.0%vs.16.0%)(P<0.05)。结论股骨粗隆间骨折采取闭合复位PFNA内固定治疗,手术时间可明显缩短,患者术后愈合好,并发症发生率低,临床效果显著。

Objective To study the clinical effect of closed reduction PFNA internal fixation for femoral intertrochanteric fractures.Methods 100 cases of patients with femoral intertrochanteric fractures treated from January 2014 to February2016 were andomly selected and randomly divided into two groups with 50 cases in each,the control group were treated with closed reduction DHS internal fixation,while the observation group were treated with closed reduction PFNA internal fixation,and the operation situation,recovery situation and postoperative complications situation were compared between the two groups.Results The operation time in the observation group was shorter than that in the control group,and the intraoperative bleeding amount was less than that in the control group,and the differences were statistically significant [（37.52 ±7.92）min vs（55.45±10.36）min,（30.16±4.87）mL vs（73.09±10.58）mL]（P〈0.05）,and the wound healing time in the observation group was shorter than that in the control group,and the time to get out of bed was shorter than that in the control group,and the difference was statistically significant[（11.35±2.54）d vs（15.37±2.82）d,（33.36±7.15）d vs（40.54±7.83）d]（P〈0.05）,and the excellent and good rate of curative effect in the observation group was higher than that in the control group（96.0% vs82.0%）（P〈0.05）,and the incidence rate of complications in the observation group was lower than that in the control group（4.0% vs 16.0%）（P〈0.05）.Conclusion The closed reduction PFNA internal fixation for femoral intertrochanteric fractures can obviously shorten the operation time with good postoperative healing and low incidence rate of complications,and the clinical effect is obvious.