两种体位下PFNA治疗老年股骨粗隆间骨折的比较  

Comparison of Two Postures in Treating the Elderly Femoral Intertrochanteric Fractures with PFNA

作　　者：林晓毅[1] 林凤晖 刘复安[1] 杨俊[1] 

机构地区：[1]厦门大学附属第一医院骨科,福建厦门361003 [2]厦门市思明区开元街道社区服务中心

出　　处：《中国中医骨伤科杂志》2017年第6期33-36,共4页Chinese Journal of Traditional Medical Traumatology & Orthopedics

摘　　要：目的:比较侧卧位和仰卧位下选用股骨近端防旋髓内钉(Proximal Femoral Nail Antirotation,PFNA)治疗老年股骨粗隆间骨折的疗效。方法:回顾分析2010年1月至2014年1月收治的100例行股骨近端防旋髓内钉(PFNA)内固定治疗的老年股骨粗隆间骨折患者,分别采用侧卧位徒手牵引和仰卧位牵引床牵引,对两组患者体位摆放成功的时间、术中出血量、手术时间、术中透视次数及术后1年的Harris评分进行比较。结果:侧卧位组在患者体位摆放成功的时间、术中出血量、手术时间、术中透视次数比仰卧位组有优势,差异有统计学意义(P<0.05),而在术后1年髋关节功能评分方面两组比较差异无统计学意义(P>0.05)。结论:侧卧位行PFNA治疗老年股骨粗隆间骨折具有手术时间短、出血少、透视少、操作简单等优点。Objective：To compare the therapeutic effect of two postures in treating the elderly femoral intertrochanteric fractures with proximal femoral nail antirotation（PFNA）.Methods：From January 2010 to January 2014,100 elderly patients with intertrochanteric fractures were treated with PFNA,including 60 cases of manual traction in the lateral decubitus position and 40 cases of fracture-table traction in the supine position.The operative time,blood loss during operation,intraoperative fluoroscopy times and Harris score of postoperative l year were compared in our study.Results：The lateral position group had more advantage than the supine position group in operative time,the blood loss during the operation and the intraoperative fluoroscopy times（P〈0.05）,but had no advantage in Harris score of postoperative l year（P〉0.05）. Conclusion：Treating the elderly femoral intertrochanteric fractures with PFNA in lateral decubitus position is a new choice,with the advantages of shorter operative time,less blood loss and less fluoroscopy times.

关 键 词：侧卧位 仰卧位 股骨近端防旋髓内钉 老年 股骨粗隆间骨折 

分 类 号：R683.42[医药卫生—骨科学]