股骨近端抗旋髓内钉治疗转子间骨折疗效观察  

Clinical effect of proximal femoral nail antirotation fixation in the treatment of intertrochanteric fracture

作　　者：黄东永[1] 黄远源[1] 陈敏[1] 黄仕光[1] 王友洛[1] 

机构地区：[1]惠州市第三人民医院骨一科,广东惠州516002

出　　处：《海南医学》2015年第12期1824-1826,共3页Hainan Medical Journal

基　　金：惠州市科技计划项目(编号:2014802)

摘　　要：目的观察股骨近端抗旋髓内钉治疗转子间骨折的临床效果。方法回顾性分析2011年1月至2013年1月收治的121例股骨转子间骨折患者的临床资料,其中采用股骨近端抗旋髓内钉治疗患者57例设为髓内钉组,采用动力髋螺钉治疗患者64例设为髋螺钉组。比较两组患者的手术情况和预后。结果髓内钉组和髋螺钉组患者的手术时间分别为(56.2±7.4)min和(74.8±8.3)min,透视次数分别为(18.6±2.1)次和(22.3±2.4)次,术中出血量分别为(140.2±40.2)ml和(186.1±36.8)ml,差异均具有统计学意义(P<0.01)。髓内钉组和髋螺钉组患者手术切口长度分别为(7.2±2.0)cm和(6.7±2.0)cm,差异无统计学意义(P>0.05)。髓内钉组和髋螺钉组患者骨髋关节功能评分分别为(7.6±1.6)分和(7.8±1.7)分,差异无统计学意义(P>0.05)。髓内钉组和髋螺钉组患者完全负重时间分别为(10.4±2.7)周和(18.3±4.0)周,骨折愈合时间分别为(18.9±4.)周和(30.5±5.0)周,差异均具有显著统计学意义(P<0.01)。结论股骨近端抗旋髓内钉治疗转子间骨折的临床效果良好、恢复速度更快,具有临床应用价值。Objective To investigate the clinical efficacy of proximal femoral nail antirotation fixation （PF-NAF） in the treatment of intertrochanteric fracture of femur. Methods The clinical data of 121 patients with intertro-chanteric fractures in the hospital between January 2011 and January 2013 were retrospectively analyzed. Among the 121 patients, 57 patients treated by proximal femoral nail antirotation were set as PFNAF group and 64 patients treat-ed by dynamic hip screw （DHS） were set DHS group. The operation situation and prognosis were compared between two groups. Results The operation duration time in PFNAF group was （56.2±7.4） min, which was significantly less than （74.8±8.3） min in DHS group （P〈0.01）. The perspective times in PFNAF group was （18.6±2.1）, which was signif-icantly less than （22.3 ± 2.4） in DHS group （P〈0.01）. The amount of bleeding in PFNAF group was （140.2 ± 40.2） ml, which was significantly less than （186.1±36.8） ml in DHS group （P〈0.01）. There was no statistically significant differ-ence of the operative incision lengths and hip joint function score between two groups （P〉0.05）. The full weight-bear-ing time in PFNAF group was （10.4±2.7） weeks, which was significantly less than （18.3±4.0） weeks in DHS group （P〈0.01）. The fracture healing time in PFNAF group was （18.9±4.6） weeks, which was significantly less than （30.5±5.0） weeks in DHS group （P〈0.01）. Conclusion The clinical results of proximal femoral nail antirotation fixation are satisfactory.

关 键 词：转子间骨折 骨近端抗旋髓内钉 动力髋螺钉 临床疗效 

分 类 号：R683.42[医药卫生—骨科学]