LCP、DHS和PFNA治疗股骨粗隆间骨折的疗效对比  

Efficacy of LCP,DHS and PFNA in the treatment of intertrochanteric fractures

作　　者：顾署光 Gu Shuguang(Department of Orthopedics,the Mine Hospital of Xuzhou,Jiangsu,221009)

机构地区：[1]江苏徐州矿山医院骨科,221009

出　　处：《中国社区医师》2017年第19期52-53,共2页Chinese Community Doctors

摘　　要：目的:探讨股骨近端锁定钢板(LCP)、动力髋部螺钉(DHS)和股骨近端髓内钉(PFNA)治疗股骨粗隆间骨折的临床效果。方法:收治股骨粗隆间骨折患者65例,分为LCP组、DHS组和PFNA组,比较3组的治疗效果。结果:LCP组、PFNA组失血量、骨折愈合时间优于DHS组,PFNA组手术切口短于LCP组、DHS组(P<0.05)。随访1年后,LCP组、PFNA组术后关节功能恢复优良率优于DHS组(P<0.05)。结论:在治疗股骨粗隆间骨折中LCP和PFNA内固定的临床效果更为理想。Objective:To explore the efficacy of LCP,DHS and PFNA in the treatment of intertrochanteric fractures.Methods:65patients with intertrochanteric fractures were selected.They were divided into the LCP group,the DHS group and the PFNA group.We compared the treatment effect of the three groups.Results:The blood loss and fracture healing time of the LCP group and the PFNA group were better than those of the DHS group;the surgical incision of the PFNA group was shorter than the LCP group and the DHS group(P<0.05).After1year of follow-up,the excellent and good rates of recovery of joint function of the LCP group and the PFNA group were better than the DHS group(P<0.05).Conclusion:In the treatment of intertrochanteric fracture,the clinical effect of LCP and PFNA fixation was more ideal.

关 键 词：股骨近端锁定钢板 动力髋部螺钉 股骨近端髓内钉 股骨粗隆间骨折 

分 类 号：R687.3[医药卫生—骨科学]