动力髋部螺钉和股骨近端髓内钉治疗老年股骨转子间骨折的对比研究  

The contrast study of DHS and PFN in the treatment of femoral intertrochanteric fractures

作　　者：张桂友 杨戈 

机构地区：[1]广东省中山市三乡医院,528463

出　　处：《中国医学创新》2011年第20期6-7,共2页Medical Innovation of China

摘　　要：目的探讨动力髋部螺钉和股骨近端髓内钉两种方法治疗老年股骨转子间骨折的疗效。方法回顾性分析笔者所在医院收治的62例老年股骨转子间骨折患者的病例资料,所有患者随机进行分组,治疗组使用股骨近端髓内钉进行治疗,对照组使用动力髋部螺钉进行治疗,并对两组患者的手术时间、术中出血量、并发症、疗效进行对比分析。结果除手术时间外,治疗组疗效、术中出血量、并发症均明显优于对照组,差异均有统计学意义(P<0.05)。结论股骨近端髓内钉治疗老年股骨转子间骨折疗效好,值得临床推广。Objective To explore the effect of hip screw and power proximal femur intramedullary nail on elderly patients with femoral intertroehanteric fractures. Methods Records of 62 were retrospectively analyzed in an elderly patients with fracture of the femoral between rotor eases of material, all patients randomized groups treatment used proximal femur intr- amedullary nail for treatment, and the eontrol group using power hip screw treatment, and the two groups of patients with oper- ation time, peri - operative bleeding, curative effect are compared and analyzed. Results Two groups of patients after treat- ment each aspect, the treatment group contrast significantly higher than those in the control group, obviously, a statistically significant difference （ P 〈 0.05 ）. Conclusion The proximal femur intran^edullary nailing for elderly patients with fracture of the femoral between rotor and curative effect of the operation indexes were higher than using power hip screw for treatment, and clinical promotion.

关 键 词：动力髋部螺钉 股骨近端髓内钉 老年 股骨转子间骨折 

分 类 号：R687.3[医药卫生—骨科学]