两种手术方式治疗老年骨质疏松患者股骨粗隆间骨折的疗效比较  

Comparaitive Opinionson of Two Surgical Methods in the Treatment of Intertrochanter Fracture of Femur in Elderly Patients with Osteoporosis

作　　者：王国栋[1] 杨凌云[1] WANG Guodong;YANG Lingyun(Second Affiliated Hospital of Nanjing Medical University,Nanjing,Jiangsu 210011,China)

机构地区：[1]南京医科大学第二附属医院,江苏南京210011

出　　处：《大医生》2019年第20期31-32,共2页Doctor

摘　　要：目的探讨比较在老年骨质疏松型股骨粗隆间骨折患者治疗中采取人工股骨头置换术和股骨近端防旋髓内钉手术(PFNA)锁定动力髋螺钉手术方式的应用效果.方法随机抽取南京医科大学第二附属医院2017年1月至2019年2月36例老年骨质疏松型股骨粗隆间骨折患者,并根据就诊顺序分为两组,每组18例.观察组患者行人工股骨头置换术治疗,对照组行PFNA手术治疗.比较两组围术期指标、术后并发症以及髋关节功能的恢复情况.结果两组手术用时、失血量比较,差异无统计学意义中(P>0.05);观察组的术后卧床时间短于对照组.术后并发症发生率明显低于对照组,术后髋关节功能恢复优良率高于对照组(88.89%vs.66.67%,P<0.05).结论针对老年骨质疏松型股骨粗隆间骨折患者行人工股骨头置换术,可有效降低术后并发症风险并促进关节功能恢复良好.Objective To study compare the effect of artificial femoral head replacement and antirotationintr amedullarynailingof proximal femurlocking dynamic hip screw operation in the treatment of senile osteoporosis type intertrochanteric fractureof femur inelderly patients with osteoporosis.Methods From January 2017 to February 2019,36 elderly osteoporotic patients with osteoporotic intertrochanteric fractures admitted to Second Affiliated Hospital of Nanjing Medical University of the aged from January 2017 to February 2019 were randomly selected and assigned to 2 groupsed according to the order of treatment,18 cases per group.Patients in the observation group were treated with artificial femoral head replacement,while patients in the control group were treated with antirotationintramedullarynailing of proximal femur.Theperioperative indicators,postoperative complications and recovery of hip function in the two groups were compared.Results There was no significant difference in operation time and blood loss between the two groups(P>0.05).The postoperative time in bed in the observation group was shorter than that in the control group,the incidence of postoperative complication rate was significantly lower than that in the control group,and the postoperative excellent and good recovery rate of hip joint function was higher than that in the control group(88.89%vs.66.67%,P<0.05).Conclusion Artificial femoral head replacement for senile patients with osteoporotic intertrochanteric fracture can effectively In order to reduce the risk of postoperative complications and to promote the good recovery of the joint function.

关 键 词：股骨粗隆间骨折 骨质疏松 股骨近端防旋髓内钉手术 

分 类 号：R68[医药卫生—骨科学]