股骨近端防旋髓内钉内固定治疗老年股骨间骨折的临床效果  

Clinical effect of proximal femoral nail anti-rotation intramedullary in the treatment of elderly interfemoral fracture

作　　者：龙啸宇 LONG Xiao-yu(Department of Orthopedics,the Third Affiliated Hospital of South China University,Hu′nan Province,Hengyang 421900,China)

机构地区：[1]南华大学附属第三医院骨科

出　　处：《中国当代医药》2019年第19期140-142,共3页China Modern Medicine

摘　　要：目的探讨老年股骨间骨折采取股骨近端防旋髓内钉(PFNA)内固定治疗的临床效果。方法回顾性分析2017年5月~2018年5月我院收治的68例老年股骨间骨折患者的临床资料,按照治疗方法的不同分为观察组(34例)和对照组(34例)。观察组采用PFNA治疗,对照组采用动力髋螺钉(DHS)治疗。比较两组的手术时间、切口长度、卧床时间、术中出血量、骨折愈合时间、髋关节评分优良率及并发症发生情况。结果观察组的手术时间、切口长度、卧床时间及骨折愈合时间短于对照组,术中出血量少于对照组,差异均有统计学意义(P<0.05);观察组的髋关节评分优良率高于对照组,差异有统计学意义(P<0.05);观察组的术后并发症总发生率低于对照组,差异有统计学意义(P<0.05)。结论老年股骨间骨折采取PFNA内固定治疗,疗效显著,能缩短患者的手术时间、卧床时间及骨折愈合时间,减少术中出血量,降低并发症发生率,值得推广。Objective To explore the clinical effect of proximal femoral nail anti-rotation (PFNA) intramedullary internal fixation for elderly interfemoral fracture. Methods The clinical data of 68 elderly patients with interfemoral fracture treated in our hospital from May 2017 to May 2018 were retrospectively analyzed, they were divided into observation group (34 cases) and control group (34 cases) according to different treatment methods. The observation group was treated with PFNA, while the control group was treated with dynamic hip screws (DHS). The operation time, incision length, bed rest time, intraoperative bleeding volume, fracture healing time, excellent and good rate of hip score and complications were compared between the two groups. Results The operation time, incision length, bed rest time and fracture healing time of the observation group were shorter than those of the control group, and the amount of bleeding during operation was less than that of the control group, the differences were statistically significant (P<0.05). The excellent and good rate of hip score in the observation group was higher than that in the control group, the difference was statistically significant (P<0.05). The total incidence of complications in the observation group was lower than that in the control group, the difference was statistically significant (P<0.05). Conclusion The PFNA internal fixation for the treatment of interfemoral fractures in the elderly has a remarkable effect. It can shorten the operation time, bed-rest time and fracture healing time, reduce intraoperative bleeding and reduce the incidence of complications. It is worth promoting.

关 键 词：优良率 动力髋螺钉 股骨间骨折 股骨近端防旋髓内钉 

分 类 号：R683.42[医药卫生—骨科学]