防旋股骨近端髓内钉治疗高龄股骨转子间骨折65例的临床分析  

The Clinical Analysis of 65 Cases of Proximal Femoral Intramedullary Nail Anti-Rotation in Treatment of Intertrochanteric Fractures in Elderly Patients

作　　者：杜绍良[1] 张锡光[1] 陆景华[1] 王双能[1] 张传林[1] 滕兆伟[1] 

机构地区：[1]云南省玉溪市人民医院,云南玉溪653100

出　　处：《中国医学创新》2013年第35期126-128,共3页Medical Innovation of China

摘　　要：目的:探讨防旋股骨近端髓内钉(PFNA)治疗高龄股骨转子间骨折的临床疗效。方法:将2008年1月-2012年3月本院收治的高龄股骨转子间骨折122例,按照不同固定方式将其分为动髋螺钉(DHS)治疗57例和股骨近端髓内钉(PFNA)治疗65例,比较两组术中出血量、平均手术时间、术后骨折临床愈合时间、髋关节的功能。结果:PFNA组骨折术中出血量、手术时间明显少于DHS组,两组比较差异有统计学意义(P<0.05);所有病例均获得随访,平均12个月,在骨折临床愈合时间及髋关节的功能方面也优于DHS组,两组比较差异有统计学意义(P<0.05)。结论:PFNA内固定术治疗高龄股骨转子间骨折临床疗效满意。Objective： To investigate the clinical efficacy of proximal femoral nail anti-rotation （ PFNA ） in treatment of intertrochanteric fractures in elderly patients.Method： One hundred and twenty-two cases of elderly femoral fracture from January 2008 to March 2012 in the hospital were randomly divided into the dynamic hip screw （ DHS ） for 57 cases and the proximal femoral nail （ PFNA ） for 65 cases. The bleeding in operation, average operation time, postoperative fracture healing time, the function of the hip joint of the two groups were compared. Result： The fracture bleeding volume, operation time in PFNA group were obviously better than that of DHS group, the difference were statistically significant （ P〈0.05 ） ; all cases were followed up, average 12 months, the fracture healing time and hip function were better than that of DHS group, the difference were statistically significant （ P〈0.05 ） . Conclusion： The clinical effect of PFNA internal fixation in the treatment of femoral intertrochanteric fractures is satisfied.

关 键 词：股骨转子间骨折 高龄 防旋股骨近端髓内钉 

分 类 号：R687.3[医药卫生—骨科学]