PFNA与DHS治疗股骨粗隆间骨折疗效分析  

Curative effect analysis of PFNA and DHS for treatment of femoral intertrochanteric fracture

作　　者：王小林[1] 龙斌[1] 滕德国 

机构地区：[1]四川什邡市第二人民医院骨科,什邡618400

出　　处：《河南外科学杂志》2015年第3期20-22,共3页Henan Journal of Surgery

摘　　要：目的分析比较PFNA与DHS治疗股骨粗隆间骨折的效果。方法将58例股骨粗隆间骨折患者随机分为2组,研究组(31例)行PFNA内固定治疗,对照组(27例)行DHS治疗。随访(15.2±2.2)个月,观察比较2组的手术时间、出血量、负重时间、Harris评分及优良率。结果 PFNA组手术时间、出血量、负重时间均少于DHS组,差异有统计学意义(P<0.05)。Harris评分及优良率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,手术时间短、出血量少、可早期负重行走。Objective To compare PFNA and the DHS two method treatment femeral intatro chanteric fracture curative effect. Methods To review analyze the femeral intatro chanteric fracture 58 cases from June, 2010 to June, 2013, the male 30 cases, the female 28 cases, in 31 routine PFNA the fixed treatment is study group, 27 routine DHS treatments are the control group, the average （ 15.2 ± 2. 2） month revisit, compares two group of surgery time, the hemorrhage quantity, the carrying heavy load time, the Harris grading and fine rate. Results The PFNA group surgery time, the hemorrhage quantity, the carrying heavy load time are short in the DHS group （ P 〈 0. 05 ） , the difference has statistics significance, the Harris grading and the fine rate of two group comparison difference has no statistics significance. Conclusion Sur- gery time the PFNA treatment femeral intatro chanteric fracture is short, the hemorrhage quantity few, may the early time carry a heavy load walks, is worth the clinical promotion.

关 键 词：粗隆间骨折 股骨近端防旋髓内钉 动力髋 内固定 

分 类 号：R683[医药卫生—骨科学]