PFNA与InterTan治疗不稳定股骨转子间骨折的临床疗效  

Clinical Efficacy of PFNA and InterTan in the Treatment of Unstable Intertrochanteric Fractures of the Femur

作　　者：李铁军 LI Tie-jun(Youxian County's Hospital,Zhuzhou Hunan 412300)

机构地区：[1]攸县人民医院骨科,湖南株洲412300

出　　处：《医学临床研究》2023年第7期1032-1035,共4页Journal of Clinical Research

摘　　要：【目的】探讨股骨近端防旋髓内钉(PFNA)与股骨近端联合交锁髓内钉(InterTan)内固定治疗股骨转子间骨折患者的临床疗效。【方法】回顾性分析2018年2月至2022年2月本院收治的100例股骨转子间骨折患者,根据手术方法不同将其分为PFNA组、InterTan组,每组50例。比较两组围术期相关指标、骨折愈合时间、术后并发症发生情况、血常规、D-二聚体(D-D)、疼痛评分、日常生活能力、临床疗效。【结果】PFNA组患者手术时间、住院时间、术中失血量均少于InterTan组,差异有统计学意义(P<0.05)。PFNA组术后并发症发生率为10.00%(5/50),高于InterTan组的4.00%(2/50),差异有统计学意义(χ^(2)=6.061,P<0.05)。术后7 d,两组患者HCT、Hb水平低于术前(P<0.05),D-D水平高于术前(P<0.05),InterTan组HCT、Hb水平低于PFNA组(P<0.05),D-D水平高于PFNA组(P<0.05)。术后3个月,两组患者VAS评分、Barthel评分高于术前(P<0.05),InterTan组高于PFNA组(P<0.05)。InterTan组、PFNA组患者总有效率比较,差异无统计学意义(P>0.05)。【结论】股骨转子间骨折治疗中InterTan的疗效与PFNA相当,术前需要综合评估患者基本情况,选择合适的内固定方式,但InterTan术后并发症相对较少。【Objective】To explore the clinical efficacy of proximal femoral anti rotation intramedullary nail(PFNA)and InterTan internal fixation in the treatment of intertrochanteric fractures of the femur.【Methods】A retrospective analysis was conducted on 100 patients with intertrochanteric fractures of the femur admitted to our hospital from February 2018 to February 2022.They were divided into PFNA group and InterTan group based on different surgical methods,with 50 patients in each group.The perioperative related indicators,fracture healing time,postoperative complications,blood routine,D-dimer(D-D),pain score,ability of daily living,and clinical efficacy were compared between the two groups.【Results】The surgical time,hospitalization time,and intraoperative blood loss in the PFNA group were lower than those in the InterTan group,with statistically significant differences(P<0.05).The incidence of postoperative complications in the PFNA group was 10.00%(5/50),which was higher than 4.00%(2/50)in the InterTan group,and the difference was statistically significant(χ^(2)=6.061,P<0.05).Seven days after surgery,the levels of HCT and Hb in both groups of patients were lower than those before surgery(P<0.05),while D-D levels were higher than those before surgery(P<0.05).The levels of HCT and Hb in the InterTan group were lower than those in the PFNA group(P<0.05),and D-D levels were higher than those in the PFNA group(P<0.05).Three months after surgery,the VAS score and Barthel score of both groups of patients were higher than those before surgery(P<0.05),while the InterTan group was higher than the PFNA group(P<0.05).There was no statistically significant difference in the total effective rate between the InterTan group and the PFNA group(P>0.05).【Conclusion】The efficacy of InterTan in the treatment of intertrochanteric fractures of the femur is comparable to that of PFNA.It is necessary to comprehensively evaluate the patient's basic condition and choose an appropriate internal fixation method before surgery,bu

关 键 词：股骨颈骨折/外科学 骨折固定术 内 治疗结果 

分 类 号：R683.421[医药卫生—骨科学]