两种内固定方法在老年人股骨粗隆间骨折的应用研究  

Application of Two Internal Fixation Methods in the Treatment of Senile Intertrochanteric Fractures

作　　者：郭文涛[1] 王翀[1] 艾力.热黑 胥伯勇[1] 

机构地区：[1]新疆医科大学第一附属医院骨科,乌鲁木齐830054

出　　处：《医学研究杂志》2014年第8期72-75,共4页Journal of Medical Research

基　　金：国家自然科学基金资助项目(81160218)

摘　　要：目的 探讨比较锁定钢板（locking compression plate,LCP）和股骨近端防旋髓内钉（proximal femoral nail anti-rotation,PFNA）治疗老年人股骨粗隆间骨折的临床疗效.方法 回顾性分析笔者医院骨科中心2008年2月～2011年11月收治的老年人股骨粗隆间骨折83例,并根据不同的手术方法将其分为两组：PFNA内固定组42例,LCP内固定组41例.采用Harris功能评分、手术时间、术中出血量、住院天数、骨折愈合时间及相关并发症的发生率等进行统计学分析,以评价两种术式的疗效.结果 随访17 ～33个月（平均23个月）后根据Harris评分标准,PFNA组较LCP组无明显差异,差异无统计学意义（P＞0.05）;但PFNA组较LCP组术中出血量少、手术时间少,差异具有统计学意义（P＜0.05）.结论 LCP和PFNA均是治疗老年人股骨粗隆间骨折的有效方法,相对而言PFNA更加适合老年人群的股骨粗隆间骨折.Objective To explore the clinical curative effects of LCP and PFNA in senile intertrochanteric fractures.Methods Retrospective analysing the 83 patients of senile intertrochanteric fractures from Feb 2008 to Nov 2011 in the orthopedic center of our hospital,they were divided into two groups：LCP group（n =41） and PFNA group（n =42）.Statistically analysing Harris function scores,operation time,intraoperative blood loss,hospital stays,fracture healing time and incidence of complications after operation,in order to evaluating the effect of two methods.Results After followed up for 17-33 months （average of 23 months）.LCP group compared with PFNA group,according to Harris scoring criteria,there was no statistically significant difference （P ＞ 0.05）.But compared with LCP group,the PFNA group had less intraoperative blood loss and operative time,the difference was statistically significant （P ＜ 0.05）.Conclusion LCP and PFNA are effective methods to treat senile intertrochanteric fractures.Compared with LCP,PFNA is an ideal method of senile intertrochanteric fractures.

关 键 词：锁定钢板 股骨近端防旋髓内钉 股骨粗隆间骨折 

分 类 号：R683[医药卫生—骨科学]