股骨近端防旋髓内钉内固定术与股骨近端解剖型锁定钢板内固定术在股骨粗隆间骨折患者中的应用分析  

Application of Proximal Femoral Nail Antirotation Internal Fixation and Anatomic Proximal Femoral Locking Plate Internal Fixation in Patients with Intertrochanteric Fractures of Femur DING Dejun,ZHANG Yongjian,YIN Jigang,CHEN Tianyu

作　　者：丁德俊 张永健 尹吉刚 陈天宇 DING Dejun;ZHANG Yongjian;YIN Jigang;CHEN Tianyu(Department of Orthopedics,Shanghe County People’s Hospital,Jinan 250000,China)

机构地区：[1]山东省商河县人民医院骨二科,山东济南250000

出　　处：《中国伤残医学》2025年第6期1-5,共5页Chinese Journal of Trauma and Disability Medicine

摘　　要：目的:探讨股骨近端解剖型锁定钢板(ALP)内固定术与股骨近端防旋髓内钉(PFNA)内固定术治疗股骨粗隆间骨折(IFF)患者的临床效果。方法:选取2021年9月-2024年8月商河县人民医院收治的102例IFF患者为研究对象,采用随机数字表法将其分为对照组和研究组,各51例。研究组采用PFNA内固定术治疗,对照组采用ALP内固定术治疗。两组术后均随访3个月。比较两组的围手术期指标、髋关节功能、日常生活活动能力、生活质量及并发症发生情况。结果:研究组术中失血量少于对照组,术后首次离床活动时间短于对照组,差异均有统计学意义(P<0.05);两组手术用时比较,差异无统计学意义(P>0.05)。术后3个月,研究组Harris髋关节功能评分量表中各个维度评分均高于对照组,差异均有统计学意义(P<0.05)。术后3个月,研究组改良Barthel指数与生活质量综合评定问卷-74评分均高于对照组,差异均有统计学意义(P<0.05)。研究组并发症发生率为3.92%,低于对照组的17.65%,差异有统计学意义(P<0.05)。结论:与ALP内固定术相比,PFNA内固定术在IFF患者的治疗中效果更好,不仅可以减少术中失血量,缩短术后首次离床活动时间,改善髋关节功能及日常生活活动能力,且降低了并发症发生风险,利于改善其生活质量。Objective:To investigate the clinical effect of anatomic proximal femoral locking plate(ALP)internal fixation and proximal femoral nail antirotation(PFNA)internal fixation in the treatment of patients with intertrochanteric fractures of femur(IFF).Methods:A total of 102 patients with IFF admitted to Shanghe County People’s Hospital from September 2021 to August 2024 were selected as the study objects,and were divided into a control group and a study group by random number table method,with 51 cases in each group.The observation group were treated with PFNA internal fixation,while the control group were treated with ALP internal fixation.Both groups were followed up to 3 months after surgery.The perioperative indexes,hip function,daily living activities,the quality of life and the occurrence of complications were compared between the two groups.Results:The intraoperative blood loss of the study group were less than that of the control group,and the first postoperative movement time from bed of the study group were shorter than those of the control group,with statistical significance(P<0.05),there was no significant difference in surgical time between the two groups(P>0.05).Three months after surgery,the Harris Hip Scale score of all dimensions of the study group were higher than those of the control group,with statistical significance(P<0.05).Three months after surgery,the Modified Barthel Index and the Generic Quality of Life Inventory-74 scores of the study group were higher than those of the control group,with statistical significance(P<0.05).The incidence of complications in the study group was 3.92%,which was lower than 17.65%in the control group,with statistical significance(P<0.05).Conclusion:Compared with ALP internal fixation,PFNA internal fixation is more effective in the treatment of IFF patients,which can not only reduce intraoperative blood loss,shorten first postoperative movement time from bed,improve hip joint function and daily living activities,but also reduce the risk of complications,and impr

关 键 词：股骨粗隆间骨折 股骨近端防旋髓内钉 股骨近端解剖型锁定钢板 髋关节功能 日常生活活动能力 生活质量 

分 类 号：R683[医药卫生—骨科学]