微创DHS内固定与PFNA内固定治疗老年股骨粗隆间骨折疗效对比分析  

Comparative Analysis on the Curative Effect of Minimally Invasive DHS and PFNA Internal Fixations in the Treatment of Elderly Femoral Intertrochanteric Fracture

作　　者：王海军 

机构地区：[1]焦作市中医院,河南焦作454150

出　　处：《北华大学学报（自然科学版）》2014年第3期375-378,共4页Journal of Beihua University（Natural Science）

基　　金：河南省科技发展计划项目(122102310611)

摘　　要：目的探讨微创动力髋螺钉(DHS)内固定与股骨近端螺旋刀片抗旋髓内钉(PFNA)内固定治疗老年股骨粗隆间骨折的临床效果.方法选取老年股骨粗隆间骨折患者106例,根据治疗方案分为两组,53例患者采用微创DHS内固定治疗为对照组,53例患者采用PFNA内固定治疗为观察组,比较两组患者的手术指征、临床疗效、术后并发症情况.结果观察组患者手术时间、术中出血量、术后住院时间、负重时间、骨折愈合时间均明显小于对照组,观察组患者优良率、术后髋关节Harris评分均明显高于对照组,观察组患者术后并发症发生率明显低于对照组,差异均具有统计学意义(P<0.05).结论微创DHS内固定与PFNA内固定均是治疗老年股骨粗隆间骨折的有效方法,其中PFNA内固定的效果更佳,对患者造成的创伤更小,可显著缩短患者的恢复时间,术后并发症少,安全性更高.Objective To investigate the clinical effect of minimally invasive dynamic hip screw（DHS） internal fixation and proximal femoral nail anti rotation blade（PFNA） internal fixation in the treatment of elderly femoral intertrochanteric fracture. Method 106 elderly patients with femoral intertrochanteric fracture were divided into two groups. 53 patients treated with minimally invasive DHS internal fixation were taken as control group and 53 patients treated with PFNA internal fixation were taken as observation group. The operation indications, clinical efficacy and postoperative complications were compared between two groups. Results The operation time, intraoperative bleeding volume, postoperative hospitalization time, load time and healing time of fracture in the observation group were significantly less than those in the control group. The excellent and good rate and postoperative Harris hip scores in the observation group were significantly higher than those in the control group. The rate of postoperative complications in the observation group was significantly lower than that in the control group. The differences were statistically significant （ P 〈 0. 05 ）. Conclusion Both minimally invasive DHS internal fixation and PFNA internal fixation are effective methods in the treatment of elderly femoral intertrochanteric fracture, but the therapeutic effect of PFNA internal fixation is better, which can induce less trauma and significantly shorten the recovery time, in PFNA internal fixation can induce less postoperative complications with higher security.

关 键 词：微创 DHS内固定 PFNA内固定 老年 股骨粗隆间骨折 

分 类 号：R247.1[医药卫生—中医临床基础]