DHS与PFNA治疗股骨粗隆间骨折的疗效比较  

Comparison of Efficacy between DHS and PFNA in Treatment of Intertrochanteric Femur Fracture

作　　者：徐志文[1] 陈有芬[1] 朱家骏[1] 宋永进[1] 

机构地区：[1]金华市人民医院骨科,浙江金华321000

出　　处：《中国现代医生》2011年第1期97-98,共2页China Modern Doctor

摘　　要：目的比较动力髋螺钉(dynamic hip screw,DHS)与股骨近端螺旋刀片抗旋髓内钉(proximal femoral nail antirotation,PFNA)治疗股骨粗隆间骨折的疗效。方法 60例股骨粗隆间骨折患者,分成DHS组和PFNA组。两组分别采用DHS内固定及PFNA内固定。结果 60例患者骨折均骨性愈合。PFNA组优秀率83.33%,高于DHS组优秀率60.00%,差异具有显著性(P<0.05);PFNA组手术平均用时及术中出血量均少于DHS组,PFNA组未发现明显并发症。结论 PFNA内固定治疗股骨粗隆间骨折患者疗效佳,手术时间短,术中出血量少,而且也安全,值得临床进一步推广应用。Objective To compare the therapy efficacy between dynamic hip screw （DHS） and proximal femoral nail antirotation （PFNA）in the treatment of intertrochanteric femur fracture. Methods Sixty cases of intertrochanteric femur fracture were divided into two groups：DHS group and PFNA group. Two groups were given DHS and PFNA fixation,respectively. Results All 60 cases showed bone union. The excellent rate of the PFNA group was 83.33% ,higher than that （60.00%） of the DHS group,with a significant difference （P〈0.05）. The mean operative time and blood loss of the PFNA group were less than those of the DHS group. No significant complications were found in the PFNA group. Conclusion PFNA shows good efficacy,less operative time and blood loss in the treatment of intertrochanteric femur fracture,worthy of being clinically used.

关 键 词：股骨粗隆间骨折 动力髋螺钉 螺旋刀片抗旋髓内 

分 类 号：R683.42[医药卫生—骨科学]