长、短股骨近端防旋髓内钉治疗股骨粗隆间骨折的疗效比较  

A comparison of efficacy of long and short proximal femur nail antirotation in treating intertrochanteric femur fractures

作　　者：马超[1] 刘志朋 韩晓军[1] 宋矿朋[1] 刘向林 欧阳晓[2] 仝淞铭 MA Chao;LIU Zhipeng;HAN Xiaojun(Department of Orthopedics,Fourth People’s Hospital of Hengshui,Hengshui 053000,CHINA)

机构地区：[1]衡水市第四人民医院骨科,河北053000 [2]徐州市肿瘤医院(江苏大学附属徐州医院)骨科

出　　处：《江苏医药》2020年第10期1031-1033,共3页Jiangsu Medical Journal

基　　金：徐州市引进临床医学专家团队项目(2018TD012);徐州市推动科技创新专项资金项目(KC19188);江苏大学临床医学科技发展基金(JLY20180116);南京医科大学教育研究课题(2019ZC037)。

摘　　要：目的比较长、短股骨近端防旋髓内钉(PFNA)治疗股骨粗隆间骨折的疗效。方法147例股骨粗隆间骨折患者分别采用长PFNA(长PFNA组,67例)和短PFNA(短PFNA组,80例)治疗,比较两组显性失血量、隐性失血量、输血比例、手术时间和术后并发症发生情况。结果与长PFNA组比较,短PFNA组患者年龄较大,输血者比例低,显性失血量、隐性失血量和围手术期失血量较少,手术时间较短(P<0.05)。两组并发症发生率无统计学差异(P>0.05)。结论治疗股骨粗隆间骨折,采用短PFNA较长PFNA具有手术时间短和围手术期失血量少等优点。Objective To compare the efficacy of long and short proximal femur nail antirotation(PFNA)in the treatment of intertrochanteric femur fractures.Methods A total of 147 patients with intertrochanteric femur fractures was treated with long PFNA(group A,67 cases)or short PFNA(group B,80 cases).The dominant blood loss,recessive blood loss,percentage of the patients with transfusion,operation time and incidence of postoperative complications were compared between the two groups.Results Compared to group A,the patients of group B were older in age with a lower percentage of transfusion,less dominant and recessive blood loss and perioperative blood loss,and shorter operation time(P<0.05).The incidence of postoperative complications was not significantly different between the two groups(P>0.05).Conclusion Compared to long PFNA for treating intertrochanteric femur fractures,the short PFNA has the advantages of shorter operation time and less perioperative blood loss.

关 键 词：股骨近端防旋髓内钉 股骨粗隆间骨折 

分 类 号：R687[医药卫生—骨科学]