DHS与PFNA治疗股骨转子间骨折的疗效评价  

Compare the Clinical Effect between DHS and PFNA on Intertrochanteric Fracture of Femur

作　　者：王剑[1] 董利军[1] 王强[1] 

机构地区：[1]皖南医学院弋矶山医院,安徽芜湖241000

出　　处：《中外医学研究》2012年第15期3-5,共3页CHINESE AND FOREIGN MEDICAL RESEARCH

摘　　要：目的:比较治疗股骨转子间骨折的两种常用手术方法的治疗效果。方法:选择笔者所在医院2008年以来收治的股骨转子间骨折患者72例,分别应用PFNA及DHS手术方法进行治疗,观察手术持续时间、手术切口长度、术中及术后出血量、平均愈合时间及Harris髋关节功能评分等指标。结果:两组患者术后定期复查并拍摄X片,随访时间均超过半年以上,72例患者全部愈合,两组手术持续时间、手术切口长度、术中及术后出血量、Harris髋关节功能评分比较,差异有统计学意义(P<0.05);平均骨折愈合时间组间比较差异无统计学意义(P>0.05)。结论:在股骨转子间骨折患者的治疗中,PFNA相比较DHS有如下特点:手术切口小、术中出血少、操作简单、手术时间短、固定牢固可靠,是目前治疗股骨转子间骨折的首选手术方式。Objective ：To compare the clinical effect between DHS and PFNA on intertrochanteric fracture of femur.Methods ：72 patients suffered from intertroehanteric fracture of femur were observed.35 cases were undergo DHS（Dynamic hip screw）operation, meanwhile 37 cases were undergo PFNA（proximal femoral nail antirotation）operation.Operating length, operating time, operating bleeding volume,recovery time and functional outcome（harris hip score）were observed.Results ：No operating complication occurred in all cases, each case was healed.Compared with DHS group,better results were observed in PFNA group about the operation time,blood loss and Harris hip scores（P〈0.05）.The recovery time was no difference between the two groups（P〉0.05）.Conclusion ：Compared to DHS operating method, PFNA operating method has advantages in the operating length, operating time, operating bleeding volume and Harris hip score were decreased, whieh should be the first choose on the treatment of intertroehanteric fracture of femur.

关 键 词：股骨转子间骨折 DHS PFNA 

分 类 号：R687.3[医药卫生—骨科学]