PFN与DHS治疗老年不稳定型股骨粗隆间骨折的临床分析  

Clinical analysis of treatment on aged unstable intertrochanteric fractures with PFN and DHS

作　　者：陈健民[1] 黄炳生[1] 黄炯峰[1] 陈立安[1] 王永胜[1] 廖文益[1] 

机构地区：[1]广州市番禺区人民医院骨一科,511400

出　　处：《岭南现代临床外科》2009年第6期431-433,共3页Lingnan Modern Clinics in Surgery

摘　　要：目的探讨采用股骨近端髓内钉(PFN)与动力髋螺钉(DHS)固定治疗老年不稳定型股骨粗隆间骨折的疗效。方法回顾性分析我科自2000年2月至2008年6月收治老年不稳定型股骨粗隆间骨折62例,随机分为DHS和PFN两类手术组(分另为307例及32例)。比较两组治疗效果、出血量、手术时间及切口长度等。结果平均随访时间15.1月。与DHS组相比,PFN组手术时间短,切口小,术中出血量及术后引流量少,骨折临床愈合时间短,且可早期下床负重而不增加术后并发症发生率。两组之间在统计学上有明显差异(P<0.05)。结论 PFN手术创伤小、操作简单、固定牢靠、并发症少,是治疗老年股骨粗隆间骨折的理想方法之一。Objective To evaluate the results of aged suffering of unstable intertrochanteric fractures treated with PFN and DHS. Methods From February. 2000 to June 2008, 62 cases with aged unstable intertrochanteric fracture were analyzed retrospectively. The patients were randomly diviede into two groups. The therapeutic efficacy, bleeding volume, operative time and incisional length were compared between two groups. Results The mean follow-up time was 15.1months. In the colnparision with group DHS, the group PFN was not only shorter operative time, less incision, less volume of intraoperative bleeding, less postoperative drainage volume and shorter unidn time, but also could early weight bearing. There were significant difference statistically between two groups（P〈0.05）. Conclusion PFN is one of the ideal options for the unstable intertrochanteric fracture.

关 键 词：股骨近端髓内钉 动力髋螺钉 老年 粗隆间骨折 

分 类 号：R681.8[医药卫生—骨科学]