DHS与PFNA治疗外侧壁危险型股骨粗隆间骨折的疗效对比  

Clinical effect of intertrochanteric fracture between PFNA and DHS

作　　者：陈琼 任乐夫 曾纳新 张铁红 杜江鸿 

机构地区：[1]湖南省岳阳市一人民医院创伤科,湖南岳阳414000

出　　处：《中国现代医生》2015年第10期62-64,共3页China Modern Doctor

摘　　要：目的：探讨PFNA与DHS治疗外侧壁危险型股骨粗隆间骨折的临床疗效。方法选自2011年3月~2013年3月在我院骨科住院治疗的97例外侧壁危险型股骨粗隆间骨折并给予手术治疗的患者，根据手术方法不同分为DHS组48例，PFNA组49例。比较两组患者的围手术期指标以及术后骨折平均愈合时间、术后骨折复位丢失、关节功能恢复优良率及术后并发症。结果 PFNA组的手术时间、术中出血量、术后住院时间、平均愈合时间均短于DHS组，差异有统计学意义（P〈0.05）；PFNA组术后骨折复位丢失率、并发症发生率均明显低于DHS组，关节功能恢复优良率明显高于DHS组，差异均有统计学意义（P〈0.05）。结论 PFNA治疗外侧壁危险型股骨粗隆间骨折疗效可靠、安全有效方法，值得在临床上推广应用。Objective To explore the clinical therapeutic effect of inverted DHS and PFNA in the treatment of femoral intertrochanteric fractures. Methods A total of 97 patients with intertrochanteric fracture in our hospital from Mar. 2011 to Mar 2013 in the department of orthopaedics were randomly divided into two groups. 48 cases were included into DHS group,another 49 cases were included into PFNA group.And then the perioperative index and the average healing time,postoperative fracture reduction loss, the excellent rate of joint function recovery and the incidence of complications between the two groups were compared. Results Theoperative time,intra-operative blood loss,postopera-tive drainage,the average healing time of PFNA group were better than that in DHS group （P＆lt;0.05）.The postoperative fracture reduction loss,complication incidence of PFNA group was significantly lower than that in DHS group,and the excellent rate of joint function recovery of PFNA group was significantly higher than that in DHS group （P＆lt;0.05）. Conclusion PFNA is a reliable and effective therapy for femoral intertrochanteric fractures,it is of worthy of clinical application.

关 键 词：外侧壁危险型股骨粗隆间骨折 动力加压髋螺钉 抗旋股骨近端髓内钉 临床疗效 

分 类 号：R687.3[医药卫生—骨科学]