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股骨粗隆间骨折早期内固定的手术治疗

Surgical Treatment of Early Internal Fixation of Intertrochanteric Fractures
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摘要 目的研讨股骨粗隆间骨折患者接受早期防旋股骨髓内钉(PFNA)与动力髋螺钉(DHS)内固定手术治疗的临床价值。方法对50例股骨粗隆间骨折患者随机分配入组,Ⅰ组(n=25)接受DHS内固定治疗,Ⅱ组(n=25)接受PFNA内固定术治疗,分析评估两组手术对近期临床指标(手术时长、术中出血量等)及患者髋关节功能的影响。结果两组在手术时长、住院时间方面的对比,无统计学意义(P> 0.05);但与Ⅰ组对比,Ⅱ组在术中出血量方面减少较明显,有统计学意义(P<0.05)。术后半年年门诊随访,两组在髋关节功能优良率方面的对比,无统计学意义(P> 0.05)。结论 DHS、PFNA内固定手术对股骨粗隆间骨折的治疗均有确切的疗效,DHS术中出血相对较大,但具有易于操作、可解剖复位等特点,较PFNA更具有推广价值。 Objective To investigate the clinical value of early treatment of femoral intertrochanteric fractures(PFNA) and dynamic hip screw(DHS). Methods Fifty patients with intertrochanteric fractures were randomly assigned to receive group Ⅰ(n=25) received DHS internal fixation, group Ⅰ(n=25) received PFNA internal fixation, and the two groups were analyzed recently. Clinical indicators(surgery duration, intraoperative blood loss, etc.) and the effects of hip function in patients. Results There was no significant difference in the length of surgery and length of hospital stay between the two groups(P〉0.05). However, compared with group Ⅰ, the decrease in intraoperative blood loss was significant in group Ⅱ(P〈0.05). There was no significant difference in the excellent rate of hip function between the two groups(P〉0.05). Conclusion DHS and PFNA internal fixation have a definite effect on the treatment of intertrochanteric fractures. DHS has relatively large bleeding, but it is easy to operate and can be dissected and reset. It has more popular value than PFNA.
作者 朱朝军 ZHU Chao-jun(Chengxi District Traffic Hospital,Xining,Qinghai 810000)
出处 《智慧健康》 2018年第29期109-110,共2页 Smart Healthcare
关键词 股骨粗隆间骨折 防旋股骨髓内钉 动力髋螺钉 内固定手术 Intertrochanteric fracture Anti-rotation femoral nail Dynamic hip screw Internal fixation
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