PFNA微创治疗老年性股骨转子间骨折的临床效果观察

Clinical Effect of PFNA Minimally Invasive in the Treatment of Senile Femoral Intertrochanteric Fractures

目的:对老年股骨转子间骨折使用股骨近端髓内钉进行治疗的效果进行探究。方法:选取60名老年股骨转子间骨折患者进行实验,所有患者在2015年1月~2016年12月之间在某院接受相关治疗。将所有患者随机分成两组,每组的例数是30例。使用动力髋螺钉治疗对照组患者,使用股骨近端髓内钉治疗观察组患者,将两组患者的治疗情况进行比较。结果:对照组患者的平均手术时间和术中出血量分别为(121.6±12.8)min和(355±80)ml,观察组分别为(84.8±9.7)min、(165±45)ml,观察组优于对照组,且差异比较有统计学意义(P<0.05)。结论:采用股骨近端髓内钉固定治疗老年股骨转子间骨折患者,可以缩短手术时间、减少术中出血量,具有极大的临床意义和参考价值。

Objective：To explore the effect of treatment of proximal femoral nail in elderly patients with intertrochanteric fractures.Methods： 60 elderly patients with intertrochanteric fractures treated in a hospital from January 3015 to December 2016 were selected and divided into two groups, with 30 patients in each group.The patients in the control group were treated with dynamic hip screw,and the patients in the observation group were treated with proximal femoral nail.The treatment effect of the two groups was compared.Results： The average operative time and intraoperative blood loss was （ 21.6± 12.8） rain and （355 ± 80） ml re speetively in the control group, （84.8± 9.7 ） min and （ 165 ± 45） ml respectively in the observation group, the observation group is superior to the control group,and the difference was statistically significant （P〈0.05）. Conclusion：The application of proximal femoral nail fixation in the treatment of senile femoral intertrochanterie fractures can shorten the operation time and reduce the intraoperative blood loss, which has great clinical significance and reference value.