老年股骨粗隆间骨折不同治疗方法的对比研究  

Comparative study on several treatment methods of intertrochanteric fracture in the elderly

作　　者：蒋卫华 Jiang Weihua(Department of Orthopedics,Caohu People's Hospital of Xiangcheng District,Suzhou City,Jiangsu Suzhou 215144)

机构地区：[1]苏州市相城区漕湖人民医院骨科,江苏苏州215144

出　　处：《中国社区医师》2021年第4期16-17,共2页Chinese Community Doctors

摘　　要：目的:探讨应用不同方法治疗老年股骨粗隆间骨折的效果。方法:2017年2月-2020年2月收治老年股骨粗隆间骨折患者40例,根据不同治疗方法分为三组。A组接受动力髋螺钉(DHS)治疗;B组接受防旋股骨近端髓内钉(PFNA)治疗;C组接受股骨近端锁定加压钢板(LCP)治疗。比较三组治疗效果。结果:B组切口长度、手术时间、术中出血量、术后引流量及并发症发生率均明显低于A组、C组,差异有统计学意义(P<0.05)。结论:PFNA、DHS、LCP治疗老年股骨粗隆间骨折,无论是安全性还是疗效,PFNA均有明显优势,即创伤小、并发症少、恢复快。Objective:To investigate the effect of different treatment methods on senile intertrochanteric fracture.Methods:From February 2017 to February 2020,40 elderly patients with intertrochanteric fractures were selected and divided into three groups according to different treatment methods.Group A received dynamic hip screw(DHS)treatment.Group B received proximal femoral nail antirotation(PFNA)treatment.Group C received proximal femoral locking compression plate(LCP)treatment.We compared the therapeutic effects of the three groups.Results:In group B,the incision length,operation time,blood loss,postoperative drainage and complication rate were significantly lower than those in group A and group C,the difference was statistically significant(P<0.05).Conclusion:PFNA,DHS,LCP in the treatment of elderly intertrochanteric fractures,whether safety or efficacy,PFNA has obvious advantages,those are less trauma,fewer complications and faster recovery.

关 键 词：老年股骨粗隆间骨折 动力髋螺钉 防旋股骨近端髓内钉 股骨近端锁定加压钢板 

分 类 号：R687.3[医药卫生—骨科学]