动力加压髋螺钉与抗旋股骨近端髓内钉治疗股骨粗隆间骨折的比较  

Comparison of Inverted Dynamic Hip Screw and Proximal Femoral Nail Antirotation in Treatment of Femoral Intertrochanteric Fractures

作　　者：熊灿 李世芳 周道政 

机构地区：[1]重庆市开县人民医院骨科一病区,重庆开县405400

出　　处：《解放军医药杂志》2013年第6期44-46,共3页Medical & Pharmaceutical Journal of Chinese People’s Liberation Army

摘　　要：目的比较动力加压髋螺钉(DHS)和抗旋股骨近端髓内钉(PFNA)对股骨粗隆间骨折治疗效果。方法2006年2月—2010年7月收治股骨粗隆间骨折72例,随机分为DHS组(行动力加压髋螺钉手术)36例和PFNA组(行抗旋股骨近端髓内钉手术)36例。观察手术相关指标及评价疗效。结果两组手术相关指标比较PFNA组明显优于DHS组(P<0.01,P<0.05);两组术后发生延迟愈合、肺部感染、泌尿系感染等方面比较PFNA组明显少于DHS组(P<0.05);两组术后疗效比较PFNA组明显优于DHS组(P<0.01)。结论与DHS相比,PFNA是治疗股骨粗隆间骨折更为理想的内固定物。Objective To compare the therapeutic effectiveness of inverted dynamic hip screw （DHS） and prox- imal femoral nail antirotation （PFNA） in treatment of femoral intertrochanteric fractures. Methods A total of 72 pa- tients with femoral intertrochanteric fractures during February 2006 and July 2010 were randomly divided into two groups： 36 patients were treated with dynamic hip screw （DHS group） , and 36 patients were treated with proximal femoral nail antirotation （PFNA group）. Surgery-related indexes and efficacy of the two groups were evaluated. Results The surgi- cal indexes of PFNA group were significantly better than those of DHS group （P 〈 0.01 ,P 〈 0.05 ） ; the number of pa- tients with late healed, pulmonary infection and urinary infection after operations in PFNA group were significantly less than that in DHS group （ P 〈 0.05） ; the postoperative curative effect in PFNA group was obviously superior to that in DHS group （P 〈 0.01 ）. Conclusion Proximal femoral nail antirotation may be an ideal internal fixation in treatment of femoral intertrochanteric fractures.

关 键 词：股骨骨折 骨折固定术 内 骨钉 动力髋螺钉 股骨近端髓内钉 股骨粗隆间骨折 防旋股骨近端髓内钉 

分 类 号：R683.42[医药卫生—骨科学]