三种治疗老年股骨转子间周围骨折的效果比较  

Comparative Study of DHS,PFN and PFNA for the Treatment of Intertrochanteric Fractures

作　　者：何述明[1] 李淑英[1] 

机构地区：[1]四川省眉山市第二人民医院骨科,四川眉山620599

出　　处：《中外医疗》2013年第24期39-40,共2页China & Foreign Medical Treatment

摘　　要：目的比较3种治疗老年股骨转子间周围骨折的临床效果。方法将60患者分成3组,分别采用DHS治疗、PFN治疗和PFNA治疗。结果在DHS、PFN和PFNA3组中,平均手术时间差异无统计学意义(P>0.05);PFN组的平均出血量最少(104.7±61.7),平均出血量差异有统计学意义(P<0.05);从髋关节功能Harris评分中可以看出,受伤前、术后3个月、术后6个月的3组内两两之间差异无统计学意义(P>0.05);术后1个月的PFN组和PFNA组的恢复速度明显优于DHS组,DHS组与PFN组和PFNA组之间差异无统计学意义(P<0.05)。结论采用PFN方法进行治疗老年股骨转子间周围骨折的效果会更好。Objective To compare the clinical effect of DHS,PFN and PFNA in the treatment of intertrochanteric fractures.Methods 60 patients were divided into three groups,DHS group（n=22）,PFN group（n=23） and PFNA group（n=15） and they were treated with DHS,PFN and PFNA treatment respectively.The clinical data of the patients were analyzed statistically through t test.Results Among the DHS,PFN and PFNA group,there was no statistically difference in the mean operative time（P0.05）;The average amount of bleeding of the PFN group was the least（104.7±61.7）,while that of the DHS group was the most（265.6±85.3）.There were significant statistically differences among the three groups（P0.05）;According to Harris hip score,before the injury,3 months and 6 months after operation,there were no statistically differences among the three groups（P0.05）;The recovery rates of PFN group and PFNA group were significantly better than that of the DHS group 1 month after operation,the difference was statistically significant（P0.05）.Conclusion Among the three methods,PFN treatment was the best for the treatment of intertrochanteric fractures.

关 键 词：股骨转子间周围骨折 股骨近端髓内钉(PFN) 股骨近端防旋髓内钉(PFNA) 

分 类 号：R687.3[医药卫生—骨科学]