手术治疗股骨转子间骨折并骨质疏松的临床效果评价  

Evaluation of Clinical Effect of Surgical Treatment of Femoral Intertrochanteric Fracture and Osteoporosis

作　　者：施鹏旭[1] 李玥婷 华凯[1] 路宝民[1] 郭庆升[1] 

机构地区：[1]辽宁省人民医院,辽宁沈阳110000 [2]辽宁省肿瘤医院

出　　处：《中国医学创新》2017年第9期118-121,共4页Medical Innovation of China

摘　　要：目的:评价手术治疗股骨转子间骨折并骨质疏松的临床效果。方法:选取2014年1月-2016年10月本院收治的80例股骨转子间骨折并骨质疏松患者作为研究对象,根据随机数字表法分为对照组与观察组,各40例。对照组采用动力髋部螺纹钉(DHS)治疗,观察组采用螺旋刀片型股骨近端髓内钉(PFNA)治疗,对比两组患者手术时间、术中出血量、骨折愈合时间及Harris功能评分情况。结果:观察组手术时间短于对照组,差异有统计学意义(P<0.05);观察组术中出血量少于对照组,差异有统计学意义(P<0.05);两组的骨折愈合时间和Harris功能评分比较,差异均无统计学意义(P>0.05)。结论:应用螺旋刀片型股骨近端髓内钉治疗股骨转子间骨折并骨质疏松,对患者造成的创伤较少,可以缩短手术时间,减少术中出血量,治疗安全可靠,值得推广应用。Objective：To evaluate the clinical effect of surgical treatment of intertrochanteric fractures with osteoporosis.Method：A total of 80 cases with intertrochanteric fractures and osteoporosis in our hospital from January 2014 to October 2016 were selected as the research objects,they were divided into the control group and the observation group according to random number table method,40 cases in each group.The control group was treated with dynamic hip screw（DHS）,the observation group was treated with screw blade type proximal femoral nail（PFNA）.The operative time,blood loss,fracture healing time and Harris functional score of the two groups were compared.Result：The operation time of the observation group was shorter than that of control group,the difference was statistically significant（P〈0.05）;the blood loss of the observation group was less than that of control group,the difference was statistically significant（P〈0.05）;there were no significant differences in fracture healing time and Harris scores between the two groups（P〉0.05）.Conclusion：Application of spiral blade proximal femoral intramedullary nail in treatment of intertrochanteric fracture and osteoporosis,the patients caused by trauma less,can shorten the operation time, reduce the amount of bleeding,the treatment is safe and reliable,it is worthy of popularization and application.

关 键 词：股骨转子间骨折 骨质疏松 手术治疗 临床疗效 

分 类 号：R687.3[医药卫生—骨科学] R580[医药卫生—外科学]