动力髋部螺钉与防旋股骨近端髓内钉治疗老年转子间骨折的效果比较

Comparison on the Effects of Dynamic Hip Screw and Proximal Femoral Nail Anti-rotation in the Treatment of Senile Intertrochanteric Fractures

目的比较动力髋部螺钉(DHS)与防旋股骨近端髓内钉(PFNA)治疗老年转子间骨折的效果。方法选取2014年10月至2016年5月我院收治的老年转子间骨折患者92例,分为DHS组(采用动力髋部螺钉)和PFNA组(采用防旋股骨近端髓内钉)各46例。比较两组患者的疗效、切口长度、手术时间、术中出血量、住院时间及术后并发症。结果两组患者的优良率比较差异无统计学意义(P>0.05)。PFNA组的切口长度、手术时间、住院时间均显著短于DHS组,术中出血量显著少于DHS组,并发症发生率明显低于DHS组,差异均有统计学意义(P<0.05)。结论 PFNA治疗老年转子间骨折的效果与DHS相近,但PFNA的手术时间较短,术中出血量及术后并发症较少,患者恢复较快,适用于老年患者。

Objective To compare the effects of dynamic hip screw（DHS） and proximal femoral nail anti-rotation（PFNA） in the treatment of senile intertrochanteric fractures. Methods 92 cases of elderly patients with intertrochanteric fractures admitted to our hospital from October 2014 to May 2016 were selected and divided into DHS group（using dynamic hip screw） and PFNA group（using proximal femoral nail anti-rotation）, with 46 cases in each group. The curative effect, incision length, operation time, intraoperative blood loss,hospitalization time and postoperative complications were compared between the two groups. Results No statistical difference was found in the excellent and good rate between the two groups（P〈0.05）. The incision length, operation time and hospitalization time of the PFNA group were significantly shorter than those of the DHS group, and the intraoperative blood loss was significantly less than that of the DHS group, and the incidence of complications was significantly lower than that of the DHS group, with statistical differences（P〈0.05）.Conclusions PFNA has similar effect with DHS in the treatment of intertrochanteric fractures, but PFNA has shorter operation time, the less intraoperative blood loss and postoperative complications, with faster recovery, which is suitable for elderly patients.