闭合复位经皮股骨近端解剖锁定板治疗高龄股骨粗隆间骨折的疗效  

Curative effect of closed reduction and percutaneous proximal femur anatomic locking plate in treatment of senile intertrochanteric fractures

作　　者：阮彩莲[1] 

机构地区：[1]延安大学医学院临床系,陕西延安716000

出　　处：《解剖学报》2015年第1期91-93,共3页Acta Anatomica Sinica

基　　金：陕西省科学技术研究发展计划资助项目(2011K13-02-06);陕西省教育厅专项科研计划资助项目(2010JK911);陕西省卫生厅卫生科研基金资助项目(2010H24)

摘　　要：目的对比动力髋螺钉(DHS)与股骨近端解剖锁定板(PFLP)内固定治疗高龄股骨粗隆间骨折(IFF)疗效。方法将我院收治的149例高龄IFF患者依据手术方式差异分组,其中75例给予PFLP内固定设为PFLP组,其余74例给予DHS内固定设为DHS组,对比两组疗效。结果 PFLP组手术所用时间(81.1±6.9)min与失血量(254.3±47.9)ml均明显低于DHS组的(86.8±12.5)min、(286.1±34.7)ml(P<0.05)。两组术前功能评分差异不大(P>0.05);PFLP组术后第90天、180天、360天评分分别为70.6±6.8、81.5±7.3、83.5±8.6,明显高于DHS组的44.9±7.0、52.7±6.3、61.5±6.9,术后不同时间点PFLP组功能评分明显更理想(P<0.05)。结论采用闭合复位经皮PFLP内固定治疗高龄IFF患者,操作简便且疗效确切。Objective To compare the curative effect of the dynamic hip screw （DHS） and proximal femur anatomic locking plate internal fixation （PFLP） for senile intertrochanteric fractures （IFF）. Methods A total of 149 elderly patients with IFF. According to the operation way, the patients were classified as PFLP internal fixation group （75 cases） and D/IS internal fixation group （74 cases）. The curative effect was compared between two groups. Results The used time （81.1 ±6. 9）min and blood loss （254.3 ±47.9 ml） of the PFLP group were significantly less than DHS group （86. 8 ± 12. 5）min and （286. 1 ±34. 7 ml） （P 〈 0. 05）. Preoperative functional scores of the two groups were similar （P 〉 0. 05）. The postoperative scores after 90 days, 180 days, 360 days were 70.6 ± 6.8, 81.5 ± 7.3, 83.5 ± 8.6 in the PFLP group which were significantly higher than that of DHS group （44.9 ± 7.0, 52. 7 ± 6.3,61.5 ± 6.9） （ P 〈 0.05 ）. Conclusion The closed reduction and percutaneous PFLP internal fixation in the treatment of elderly patients with IFF has better curative effect.

关 键 词：闭合复位 股骨近端解剖锁定板 股骨粗隆间骨折 临床解剖学 人 

分 类 号：R322[医药卫生—人体解剖和组织胚胎学]