DHS与PFNA治疗外侧壁危险型股骨粗隆间骨折的临床疗效对比观察  

Comparative observation of clinical effects of DHS and PFNA in the treatment of risky femoral intertrochanteric fractures of the lateral wall

作　　者：张志强 夏贤生 杨忠利 彤军强 刘波 高立 曾雪松 孙世航 ZHANG Zhi-qiang;XIA Xian-sheng;YANG Zhong-li(Department of Orthopedics and Traumatology, Guangdong Dongguan Eighth People’s Hospital, Dongguan 523320, China)

机构地区：[1]广东省东莞市第八人民医院骨伤科,523320 [2]新疆建设兵团第三师医院骨科,844000

出　　处：《中国现代药物应用》2019年第15期29-31,共3页Chinese Journal of Modern Drug Application

基　　金：广东省中医药局资助项目:(项目编号:20111073)

摘　　要：目的比较动力髋螺钉(DHS)与防旋股骨近端髓内钉(PFNA)治疗外侧壁危险型股骨粗隆间骨折的临床效果。方法 82例外侧壁危险型股骨粗隆间骨折患者作为研究对象,采用随机数字表法分为观察组与对照组,每组41例。对照组患侧采用DHS治疗,观察组患者采用PFNA治疗。比较两组患者术后髋关节功能优良率。结果观察组患者术后髋关节功能优良率为85.37%,明显高于对照组的53.66%,差异具有统计学意义(P<0.05)。结论相比于DHS, PFNA治疗外侧壁危险型股骨粗隆间骨折的效果较好,患者术后髋关节功能较优,值得临床深入研究。Objective To compare the clinical effect of dynamic hip screw (DHS) and proximal femoral nail antirotation (PFNA) in the treatment of risky femoral intertrochanteric fractures of the lateral wall. Methods A total of 82 patients with risky femoral intertrochanteric fractures of the lateral wall as study subjects were divided by random number table method into observation group and control group, with 41 cases in each group. The control group was treated with DHS, and the observation group was treated with PFNA. The excellent-good rate of hip function after operation in two groups was compared. Results The observation group had obviously higher excellent-good rate of hip function after operation as 85.37% than 53.66% in the control group, and the difference was statistically significant (P<0.05). Conclusion Compared with DHS, PFNA shows better effect for the treatment of risky femoral intertrochanteric fractures of the lateral wall, and the hip function after operation is superior. It is worthy of further clinical study.

关 键 词：动力髋螺钉 防旋股骨近端髓内钉 股骨粗隆间骨折 外侧壁 

分 类 号：R687.3[医药卫生—骨科学]