股骨近端锁定钢板和PFN内固定治疗老年股骨粗隆间骨折的疗效对比研究  

The Research about the Contrast of the Clinical Efficacy between Proximal Locking Plate and PEN in the Treatment of Elderly Patients with Intertrochanteric Fracture

作　　者：梁志平[1] 

机构地区：[1]厦门市第二医院骨科,福建厦门361021

出　　处：《中国医药指南》2012年第35期28-29,共2页Guide of China Medicine

摘　　要：目的观察对比股骨近端锁定钢板与PFN内固定在治疗老年患者股骨粗隆间骨折的临床疗效。方法将股骨粗隆间骨折的老年患者154例随机分成实验组与对照组各77例,实验组采用股骨近端锁定钢板的方法进行治疗,而对照组采用PFN内固定法进行治疗。对比两组患者手术时间、术中出血量、住院时间、下地负重时间及骨折愈合时间,评估两组患者疗效差异。结果实验组患者手术时间及术中出血量均高于对照组,结果对比有统计学意义,P<0.05。两组患者临床疗效对比显示,实验组患者治疗优良率为90.9%,显著高于对照组的79.2%,结果对比有统计学差异。结论股骨近端锁定钢板在治疗老年患者股骨粗隆间骨折上较PFN内固定法拥有更好的固定效果,具有一定的临床推广意义。Objective To observe the contrast of the clinical efficacy between Proximal locking Plate（PLP） and PFN in the treatment of elderly patients with intertrochanteric fracture.Methods 154 intertrochanteric fractures patients were randomly divided into experimental group and control group,and each had 77 cases.The experimental group took PLP for treatment,while the control group received the PFN internal fixation method.Finally we figured out the patient’s operation time,intraoperative bleeding,length of hospital staytime,load time and fracture healing time.Results The experimental group’s operation time,intraoperative bleeding was higher than control group,the difference has statistically significant,P0.05.Compare of two groups clinical curative effect shows that the experimental group excellent rate was 90.9%,significantly higher than control group’s 79.2%,the difference has statistically significant,P0.05.Conclusion The proximal locking plate has better fixed effects comparing with PEN fixation,worth of clinic promotion.

关 键 词：股骨近端锁定钢板 PFN内固定 股骨粗隆间骨折 

分 类 号：R683.4[医药卫生—骨科学]