动力髋螺钉和股骨近端防旋髓内钉治疗股骨粗隆间骨折疗效比较  

Comparison between dynamic hip screw and proximal femoral nail antirotation in the treatment of intertrochanteric fractures

作　　者：谷长增[1] 张文举[1] 叶斯波[1] 郭书章 季明华[1] 宋兴华[1] 

机构地区：[1]兰州军区乌鲁木齐总医院创伤骨科,乌鲁木齐830054

出　　处：《中华实用诊断与治疗杂志》2014年第11期1086-1087,共2页Journal of Chinese Practical Diagnosis and Therapy

基　　金：国家自然科学基金(81160218)

摘　　要：目的比较动力髋螺钉(dynamic hip screw,DHS)和股骨近端防旋髓内钉(proximal femoral nail antirotation,PFNA)治疗股骨粗隆间骨折的效果。方法 103例股骨粗隆间骨折患者根据手术方法分为DHS组51例和PFNA组52例,比较2组手术时间、术中出血量、骨折愈合时间及相关并发症发生率,术后1a评定2组Harris功能评分。结果 PFNA组手术时间为(61.21±12.78)min,术中出血量为(187.12±88.12)mL,骨折愈合时间为(220.34±75.55)d,并发症发生率为3.85%;DHS组分别为(94.28±15.21)min、(330.87±112.22)mL、(269.21±88.12)d、17.65%,2组比较差异均有统计学意义(P<0.05);术后1aPFNA组Harris功能评分(88.98±5.45)分高于DHS组(84.71±4.98)分,但2组比较差异无统计学意义(P>0.05)。结论 PFNA治疗股骨粗隆间骨折可缩短手术及骨折愈合时间,降低并发症发生率。Objective To compare the operation results of dynamic hip screw（DHS）and proximal femoral nail antirotation（PFNA）in the treatment of intertrochanteric fractures. Methods A total of 103 patients with intertrochanteric fractures were divided into DHS group（n=51）and PFNA group（n=52）.Harris function score,fracture healing time and incidence of complications after operation were compared between two groups.Results The operation lasting time,intraoperative blood loss,fracture healing time and the incidence of complications were（61.21±12.78）minutes,（187.12±88.12）mL,（220.34±75.55）days and 3.85%in PFNA group,and（94.28±15.21）minutes,（330.87±112.22）mL,（269.21±88.12）days and 17.65%in DHS group,showing significant differences between two groups（P〈0.05）.Harris score was 88.98±5.45 in PFNA group,higher than that in DHS group（84.71±4.98）in one postoperative year,showing no significant difference between two groups（P〉0.05）.Conclusion PFNA could shorten the operation lasting time and fracture healing time and decrease the incidence of complication in the treatment of intertrochanteric fractures.

关 键 词：股骨转子间骨折 股骨近端防旋髓内钉 动力髋螺钉 

分 类 号：R687.3[医药卫生—骨科学]