采用Singh指数评价股骨近端防旋髓内钉固定治疗股骨粗隆间骨折临床疗效  

Clinical outcome evaluated by Singh index in the treatment of femoral intertrochanteric fracture with proximal femoral nail anti-rotation

作　　者：邹强[1] 孙磊[1] 胡宏伟[1] 

机构地区：[1]解放军第88医院全军骨科中心,山东省泰安市271000

出　　处：《中国骨与关节损伤杂志》2013年第12期1143-1145,共3页Chinese Journal of Bone and Joint Injury

基　　金：全军医学科学技术研究"十一五"计划面上项目(06MB124)

摘　　要：目的根据Singh指数,对股骨粗隆间骨折采用股骨近端防旋髓内钉(PFNA)内固定治疗,并对其临床疗效进行分析。方法回顾性分析72例采用PFNA内固定治疗并获得完整随访的股骨粗隆骨折,按照Singh指数将其分成非骨质疏松组(A组)及骨质疏松组(B组)。记录每位患者的手术出血量及手术时间,按照Harris功能评分系统对术后髋关节功能进行评分,并对两组进行比较。结果 A组较B组手术时间短(t=-3.956,P<0.001)、术中出血量少(t=-8.782,P<0.001),但两组Harris评分优良率差异无统计学意义(χ2=0.176,P=0.675)。结论 Singh指数作为临床常用的判断骨质疏松的方法,可以在术前对PFNA内固定治疗股骨粗隆骨折的手术创伤做出正确评估。Objective To evaluate the clinical value in patients with femoral intertroehanteric fracture fixed by PFNA （proximal femoral nail anti-rotation） using Singh index. Methods Totally 72 patients with femoral intertrochanteric fracture in our department were analyzed retrospectively. Patients were divided into non-osteoporosis group （group A） and osteoporosis group （group B）. The blood loss during the operation,the operate time and the function of the hip joint were compared. The function of the hip joint was evaluated by Harris assessment system. Results Compared with group B,the blood loss during operation was less（t =-8.782 ,P 〈0.001 ）, and the operate time was shorter（t =-3.956 ,P 〈0.001 ） in the group A. There was no significant difference between the two groups in excellent and good rate （x2=0.176, P =0.675）. Conclusion As commonly be used in clinical application, Singh index can make a correct assessment of preoperative surgical trauma in the treatment of patients with femoral intertrochanteric fracture fixed by PFNA.

关 键 词：股骨粗隆间骨折 SINGH指数 股骨近端防旋髓内钉 内固定 

分 类 号：R687.3[医药卫生—骨科学]