人工关节与PFNA治疗高龄股骨粗隆间不稳定性骨折的疗效分析  

作　　者：寇博[1] 刘保和[1] 陈海军[1] 朱波[1] 龚乐[1] 杨斌[1] 

机构地区：[1]宁夏石嘴山市第一人民医院骨科,宁夏石嘴山753200

出　　处：《湖南中医药大学学报》2016年第A01期511-512,共2页Journal of Hunan University of Chinese Medicine

基　　金：宁夏石嘴山市市级科研立项项目编号2014-26

摘　　要：目的对比分析GTF 股骨头置换与 PFNA内固定在高龄股骨粗隆间不稳定性骨折中的疗效.方法 选择本院收治的 79例高龄股骨粗隆间不稳定骨折患者为研究对象,分为GTF 股骨头置换组（41例）,PFNA内固定组（38例）,分别实施不同的治疗方法,对两组治疗效果进行分析和对比.结果PFNA组手术时间、出血量、住院时间较GTF 组有优势（P〈0.001）;GTF 组部分负重时间较PFNA组短（P〈0.001）,两组并发症发生率比较无差异 （P〉0.05）.结论如果患者的骨折类型相对稳定、骨质也比较好的情况下可以选择PFNA,若骨折稳定程度差、骨质疏松严重可以考虑 GTF股骨头置换.objectiveto analysis the GTF femoral head replacement and internal fixation with PFNA instability in senile intertrochanteric fractures in the curative effect. Methodsour hospital treated 79 cases of unstable intertrochanteric fracture in aged patients as the research object, is divided into GTF femoral head replacement group （41 cases）, PFNA internal fixation group （38 cases）, respectively, the implementation of different treatment methods, the two groups of treatment effect is analyzed and compared. Resultsthe PFNA group operation time, blood loss, hospital stay have advantages in the GTF group （P 〈 0.001）; Short GTF part load time is PFNA group （P 〈 0.001）, complication rates compared the two groups have no difference （P 〉 0.05）. Conclusionif the patient of fracture type is relatively stable, bone also can choose PFNA good case, if the poor stability, serious osteoporosis fracture can consider GTF femoral head replacement.

关 键 词：股骨粗隆间骨折 GTF股骨头置换 PFNA内固定 

分 类 号：R2[医药卫生—中医学]