PFNA在股骨粗隆间骨折治疗中的应用  

Application of PFNA in Treatment of Intertrochanteric Fracture of Femur

作　　者：曹红科 CAO Hong-ke(Department of Orthopedics,Guannan County People's Hospital,Lianyungang,Jiangsu Province,222500 China)

机构地区：[1]江苏省灌南县人民医院骨二科,江苏连云港222500

出　　处：《中外医疗》2020年第19期50-52,共3页China & Foreign Medical Treatment

摘　　要：目的探究PFNA内固定术在高龄股骨粗隆间骨折(FIF)治疗中的应用效果。方法从2015年8月—2019年7月,该院对老年股骨粗隆间骨折患者开展采用PFNA方法治疗的试验,4年间共方便选取高龄股骨粗隆间骨折患者40例,将其作为临床研究对象。按照试验目的和要求,将选择的40例患者分为两组,其中对照组18例患者接受股骨近端锁定钢板(PF-LCP)治疗,而观察组22例患者则接受PFNA内固定治疗,分析两组手术的一般临床指标状况,统计两组患者的髋关节功能优良率情况。结果观察组手术时间、术中出血量、术后住院时间、愈合时间以及均显著低于对照组(P<0.05);术后随访1年,观察组髋关节功能优良率94.29%,显著优于对照组72.22%(χ^2=4.191,P<0.05)。结论针对年岁大的股骨粗隆间骨折患者的治疗,在临床中采用PFNA的治疗方法,能够大大提高患者手术中的临床数据指标,减少并发症危害,对会患者髋关节功能的恢复具有极大的促进作用,有益于患者的身体康复。Objective To explore the effect of PFNA internal fixation in the treatment of elderly femoral intertrochanteric fracture(FIF).Methods From 2015 to July 2019,the hospital has conducted trials of PFNA treatment for elderly patients with femoral intertrochanteric fractures.A total of 40 elderly patients with femoral intertrochanteric fractures were selected as clinical research objects in four years.According to the purpose and requirements of the experiment,the 40 convenient selected patients were divided into two groups.Among them,18 patients in the control group received proximal femoral locking plate(PF-LCP)treatment,while 22 patients in the observation group received PFNA internal fixation.The general clinical indexes of the two groups of operations were analyzed,and the hip joint function excellent rate of the two groups of patients was counted.Results The operation time,intraoperative blood loss,postoperative hospital stay,healing time of the observation group were significantly lower than those of the control group(P<0.05);the follow-up was followed up for 1 year,and the hip function of the observation group was excellent 94.29%,significantly better than the control group 72.22%(χ^2=4.191,P<0.05).Conclusion For the treatment of elderly patients with intertrochanteric fractures of the femur,PFNA is used in the clinic,which can greatly improve the clinical data index of patients during surgery,reduce the harm of complications,and greatly promote the recovery of hip function of patients,and is beneficial to the physical rehabilitation of patients.

关 键 词：PFNA 股骨粗隆间骨折 股骨近端锁定钢板 

分 类 号：R4[医药卫生—临床医学]