人工髋关节置换与PFNA治疗高龄股骨转子间骨折比较分析  

A comparative analysis of total hip arthroplasty and PFNA treatment for senile femoral fracture between the rotor

作　　者：黄维琛[1] 郭礼跃[1] 孟映福[1] 陈建侠[1] 黄彦昌[1] 张有伟[1] 吴佳恒 

机构地区：[1]贵阳中医学院第二附属医院,贵州贵阳550001

出　　处：《黔南民族医专学报》2017年第2期91-93,107,共4页Journal of Qiannan Medical College for Nationalities

摘　　要：目的:比较人工髋关节置换(total hip arthroplasty THA)与防旋型股骨近端髓内钉(proximal femoral nail anti-rotation PFNA)两种方法治疗高龄股骨转子间骨折患者的效果。方法:利用THA及PFNA方法共治疗年龄大于80岁的股骨转子间骨折患者126例,THA治疗80例,PFNA治疗46例,比较两组患者的手术时间,术中出血量,术后下床时间,住院天数,Harris评分,术后1年死亡率、并发症发生率。结果:THA组在手术时间、术中出血量、术后下床时间、住院天数、Harris评分优良率,术后1年死亡率、并发症发生率上均明显优于PFNA组,经统计学分析有显著差异。结论:THA治疗高龄股骨转子间骨折的疗效优于PFNA。Objective： To compare the therapeutic effects of proximal femoral intramedullary nailing（ proximal femoral nail anti-rotation PFNA） and artificial hip replacement,total hip arthroplasty THA） for elderly patients with femoral fracture between the rotor type. Methods： 126 patients with femoral fracture between the rotor,aged over 80,were included in the study,of whom 80 were treated with THA,46 with PFNA. A comparison of the two groups of patients was made in terms of operation time,intraoperative blood loss,postoperative bed time,hospitalization days,Harris score,postoperative mortality and complication rates1 year after the treatment. Results： THA group was significantly better than the PFNA group in operation time,intraoperative blood loss,postoperative bed time,hospitalization days,Harris score was,the postoperative 1-year mortality and complication rates,the differences were statistically significant. Conclusion： THA has better therapeutic effect of treatingsenile femoral fractures between rotor,compared with PFNA.

关 键 词：高龄股骨转子间骨折 防旋型股骨近端髓内钉 全髋关节置换 疗效 

分 类 号：R683.4[医药卫生—骨科学]