老年转子间骨折防旋髓内固定钉与动力髋部螺钉治疗效果的比较  

Comparison of treatment of PFNA with DHS in intertrochanteric fractures

作　　者：许福山 

机构地区：[1]内蒙古兴安盟科右中旗铁路医院骨科,内蒙古兴安盟科右中旗029405

出　　处：《中国现代医学杂志》2011年第33期4217-4218,4226,共3页China Journal of Modern Medicine

摘　　要：目的探究老年转子间骨折防旋髓内钉与动力髋部螺钉的治疗效果。方法选取60岁以上股骨转子间骨折患者81例,按治疗方法不同将其分为两组。PFNA组39例,DHS组42例。记录两组切口长度、术中出血、手术时间、透视时间、住院时间及术后疗效。术后随访2～3年观察并发症情况。方法 PFNA组在手术切口长度、手术时间、术中出血及住院时间方面优于DHS组,差异具有显著统计学意义(P<0.05),而投射时间方面,DNA组短于PFNA组,差异具有显著统计学意义。两组术后严重并发症(髋内翻、CUT-OUT、内固定断裂)PFNA组发生率明显低于DHS组,差异具有显著统计学意义(P<0.05)。结论 PFNA在治疗老年患者股骨转子间骨折方面具有手术操作简单省时,术中出血较少,手术创伤较小,且材料相容性好,术后并发症小等优点,值得临床推广。[ Objective ] To observe the treatment between PFNA and DHS in intertroehanterie fractures. [Methods] 81 intertroehanteric fracture patients grouped by the treatment methods. 39 patients were treated with PENA while 42 patients with DHS. Wound length, operation time, blood loss, X-ray exposure time, inpatient time and complications were recorded and compared in two groups. [ Results ] PFNA group＇s wound length, operation time, blood loss, inpatient time were much better than DHS group＇s, the difference was statistically significant （P 〈0.05）. Serious postoperative complications （Coxa Vara, CUT-OUT, fracture fixation） PFNA group was significantly lower than the DHS group, the difference was statistically significant （P 〈0.05）. [ Conclusion] PFNA is a better way in：the elder patients of intertrochanterie fractures treatment.

关 键 词：股骨转子间骨折 防旋髓内固定钉 动力髋螺钉 

分 类 号：R681.42[医药卫生—骨科学]