不同方式治疗股骨粗隆间骨折的疗效对比

Comparison of Different Methods for the Treatment of Intertrochanteric Fracture of Femur

目的对比不同方式治疗股骨粗隆间骨折的临床疗效。方法选取2014年2月—2016年2月本院收治的120例股骨粗隆间骨折患者,以随机法分组(每组60例):治疗组行股骨粗隆间骨折髓内固定手术,对照组行股骨粗隆间骨折髓外固定手术,对比2组临床疗效。结果术后,治疗组并发症发生率5.00%,低于对照组25.00%(P<0.05);2组手术操作、骨折愈合、住院、术中出血量等比对,差异无统计学意义(P>0.05)。结论股骨粗隆间骨折髓内固定(PFNA)治疗股骨粗隆间骨折,效果显著。

Objective To compare the clinical effect of different ways in treating intertrochanteric fracture of femur. Methods 120 cases of intertrochanteric fractures from February 2014 to February 2016 in our hospital were selected, they were randomly divided into groups （60 cases in each group）. The treatment group underwent intramedullary fixation of intertrochanteric fracture with intramedullary fixation, and the control group underwent extramedullary fixation of intertrochanteric fracture of the femur, and the clinical effect of the 2 groups was compared. Results After operation, the incidence of complications in the treatment group was 5.00%, was lower than that of the control group 25.00% （P 〈 0.05）. There was no significant difference between the 2 groups of operation, fracture healing, hospitalization, and intraoperative bleeding （P 〉 0.05）. Conclusion lntertrochanteric fracture of femur intertrochanteric fractures （PFNA） treatment of intcrtrochanteric fractures.