防旋型股骨近端髓内钉与动力髋螺钉治疗老年股骨粗隆间骨折的对比  

Comparison of Proximal Femoral Nail Antirotation and Dynamic Hip Screw for Senile Femoral Intertrochanteric Fractures

作　　者：汪璟[1] 李远景[1] 马勇[2] 宗世璋[2] 黄耀斌[1] 张德[1] 丘宏伟[1] 刘干辉[1] 

机构地区：[1]汕头大学附属韶关粤北人民医院骨科,广东韶关512026 [2]南昌大学第一附属医院骨科,南昌330006

出　　处：《南昌大学学报（医学版）》2012年第5期59-61,66,共4页Journal of Nanchang University：Medical Sciences

摘　　要：目的比较防旋型股骨近端髓内钉(PFNA)与动力髋螺钉(DHS)治疗老年股骨粗隆间骨折的临床疗效。方法选择老年粗隆间骨折患者51例,按固定方式的不同将其分为2组,其中21例行PFNA内固定(PFNA组),30例行DHS内固定(DHS组)。对2组手术时间、术中出血量、术后后期并发症的发生率和疗效进行比较。结果PFNA组手术时间短于DHS组[(52±11.90)min vs(75±23.40)min,P<0.05];术中出血量PFNA组少于DHS组[(150±50)mL vs(450±60)mL,P<0.05];后期并发症发生率PFNA组低于DHS组(4.76%vs 23.33%,P<0.05)。PFNA组功能恢复的优良率明显高于DHS组(95.24%vs 76.67%,P<0.05)。结论 PFNA治疗老年粗隆间骨折比DHS更具优势。Objective To compare the clinic effects of proximal femoral nail antirotation（PFNA） and dynamic hip screw（DHS） on senile femoral intertrochanteric fractures.Methods Fifty-one elderly patients with femoral intertrochanteric fractures were assigned to receive either PFNA（group PFNA,n=21） or DHS（group DHS,n=30） for internal fixation.Operation time,intraoperative blood loss and postoperative complications were compared between the two groups.Results Compared with DHS,PFNA significantly decreased operation time,intraoperative blood loss and incidence of complications [（52±11.90） minutes vs（75±23.40） minutes,（150±50）mL vs（450±60）mL,and 4.76% vs 23.33%,respectively;P〈0.05],but obviously increased excellent and good rate（95.24% vs 76.67%,P〈0.05）.Conclusion The PFNA is superior to DHS for treating senile femoral intertrochanteric fractures.

关 键 词：粗隆间骨折 防旋型股骨近端髓内钉 动力髋螺钉 内固定系统 老年人 

分 类 号：R683.42[医药卫生—骨科学]