LCP、DHS和PFNA治疗股骨粗隆间骨折临床研究  

Comparison on the effect of LCP,DHS and PFNA in the treatment of intertrochanteric fractures

作　　者：程刚[1] 刘耀明[1] 贺云飞[1] 石鹏飞[1] 

机构地区：[1]兰州军区兰州总医院473临床部创伤外科,甘肃兰州730050

出　　处：《海南医学》2012年第3期44-47,共4页Hainan Medical Journal

摘　　要：目的比较LCP、DHS和PFNA治疗股骨粗隆间骨折的治疗效果。方法对我院2007年3月至2010年9月94例经LCP、DHS和PFNA治疗的股骨粗隆间骨折患者的手术时间、术中出血量、骨折临床愈合时间、术后并发症和髋关节功能评分等方面进行比较。结果 LCP组、DHS组和PFNA组的术中出血量分别为(341.9±95.2)ml、(462.3±124.8)ml和(190.8±45.6)ml,差异具有统计学意义(P<0.05)。PFNA组的骨折愈合时间短于LCP组和DHS组,差异具有统计学意义(P<0.05)。三组手术时间差异无统计学意义(P>0.05)。PFNA组术后髋Sander's评分优良率为96.8%,优于其余两组(P<0.05)。PFNA组的并发症发生例数也少于其他两组。结论应用PFNA治疗股骨粗隆间骨折,在术中出血量、骨折临床愈合时间等方面优于LCP组和DHS组。PFNA治疗股骨粗隆间骨折具有操作简便、切口小、出血少和固定牢靠等特点,值得临床推广使用。Objective To compare the clinical effect of locking compression plate（LCP）,dynamic hip screw（DHS） and proximal femoral nail anti-rotation（PFNA） on intertrochanteric fracture of femur.Methods 94 patients with intertrochanteric fracture of femur admitted in our hospital from Mar.2007 to Sep.2010 were treated with LCP（LCP group,n=31）,DHS（DHS group,n=32） and PFNA（PFNA,n=31）.The operation time,bleeding volume,recovery time,Sander＇s score were compared between the three groups.Results The bleeding volume of LCP group,DHS group and PFNA group were（341.9±95.2） ml,（462.3±124.8） ml and（190.8±45.6） ml,respectively（P0.05）.The recovery time was shorter in PFNA group than LCP and DHS group（P0.05）.The operation time of three groups showed no statistically significant difference（P0.05）.The excellent rate of Sander＇s score of PFNA group was 96.8%,which is significantly higher than the other two groups（P0.05）.Conclusion PFNA internal fixation is better than LCP and DHS fixation,with simple operation,less bleeding,solid fixation,and fewer complications.

关 键 词：股骨近端锁定加压钢板 动力髋螺钉 防旋股骨近端髓内钉 股骨粗隆间骨折 

分 类 号：R683.42[医药卫生—骨科学]