PFNA与DHS治疗老年患者股骨转子周围骨折临床体会  

Clinical Experience of PFNA and DHS in Treatment of Elderly Femoral Peritrochanteric Fracture

作　　者：李宝元 LI Bao-yuan(Department of Orthopedics, Qingyang City People＇s Hospital of Gansu, Qingyang, Gansu, 74500)

机构地区：[1]甘肃省庆阳市人民医院骨科,甘肃庆阳745000

出　　处：《智慧健康》2018年第3期107-108,共2页Smart Healthcare

摘　　要：目的本文就PFNA(股骨近端髓内钉)与DHS(动力髋螺钉)治疗老年患者股骨转子周围骨折的临床效果进行研究与对比。方法选取我院在2015年至2016年收治的92例老年股骨转子周围骨折患者,依据随机数字表法分为实验组与参照组,各46例;实验组采用PFNA疗法,参照组采用DHS疗法。结果实验组的术中出血量少于参照组,术后Harris髋关节功能评分高于参照组,并发症发生率对比参照组更低,均P<0.05。结论应用PFNA与DHS治疗老年患者股骨转子周围骨折均有效,但PFNA疗法有创伤小、并发症少等优势,更具推广价值。Objective To investigate and compare clinical effects of PFNA（proximal femoral nail） and DHS（dynamic hip screw） in treatment of elderly peritrochanteric fracture patients. Methods Choose 92 cases elderly peritrochanteric fracture patients treated in our hospital from 2015 to 2016, divide them into experimental and reference group according to random number table method, 46 cases in each. Experimental group was treated with PFNA therapy, and reference group with DHS therapy. Results Intraoperative blood loss of experimental group was less than reference group. Postoperative Harris hip function scores were higher than reference group, complications incidence were less than reference group, all P〈0.05. Conclusion Both PFNA and DHS are effective in treatment of elderly peritrochanteric fracture patients, but PFNA therapy has advantages of less trauma and fewer complications, which is of promotion value.

关 键 词：PFNA DHS 股骨转子周围骨折 髋关节功能 并发症 

分 类 号：R687.3[医药卫生—骨科学]