闭合复位PFNA术对股骨粗隆骨折患者Harris评分及并发症的影响  

Effect of Closed Reduction PFNA on Harris Score and Complications in Patients with Femoral Trochanteric Fracture

作　　者：刘长志[1] LIU Chang-zhi(Department of Orthopaedics,People's Hospital of Jishui County,Ji'an 331600,Jiangxi,China)

机构地区：[1]吉水县人民医院骨科

出　　处：《医学信息》2019年第23期124-125,共2页Journal of Medical Information

摘　　要：目的探讨闭合复位股骨近端髓内钉(PFNA)术对股骨粗隆间骨折(IF)患者Harris评分及并发症的影响。方法选择2017年1月~2018年12月我院收治的IF患者60例,采用随机数字表法分为对照组和观察组,各30例。对照组实施切开复位PFNA术,观察组实施闭合复位PFNA术。术后随访6个月,比较两组Harris评分及并发症发生情况。结果观察组术后1个月、3个月、6个月时Harris髋关节功能评分均高于对照组,差异有统计学意义(P<0.05);观察组并发症总发生率低于对照组,差异有统计学意义(P<0.05)。结论采用闭合复位PFNA治疗IF效果较好,可促进髋关节功能恢复,减少术后并发症。Objective To investigate the effect of closed reduction and proximal femoral nail(PFNA)on Harris score and complications in patients with intertrochanteric fracture(IF).Methods 60 patients with IF admitted to our hospital from January 2017 to December 2018 were enrolled.The patients were divided into the control group and the observation group by random number table,30 cases each.The control group underwent open reduction and PFNA,and the observation group underwent closed reduction PFNA.The patients were followed up for 6 months,and the Harris score and complications were compared between the two groups.Results Harris hip function scores were higher in the observation group than in the control group at 1 month,3 months,and 6 months after operation,the difference was statistically significant(P<0.05).The 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 use of closed reduction PFNA in the treatment of IF is better,which can promote the recovery of hip function and reduce postoperative complications.

关 键 词：股骨粗隆间骨折 闭合复位股骨近端髓内钉 髋关节功能 安全性 

分 类 号：R687.3[医药卫生—骨科学]