股骨近端防旋髓内钉内固定治疗股骨粗隆间骨折的效果及对患者预后的影响  

Effect of Proximal Femoral Anti-rotation Intramedullary Nail Internal Fixation in the Treatment of Intertrochanteric Fractures of the Femur and Impact on Patient Prognosis

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作  者:李思恩 鲁培良 许荣刚 胡书溶 杨成益 陈琦 LI Si'en;LU Peiliang;XU Ronggang;HU Shurong;YANG Chengyi;CHEN Qi(Department of Orthopedics,Huatuo Orthopedics Hospital in Liupanshui,Panzhou 553535,Guizhou,China)

机构地区:[1]六盘水华佗正骨医院骨科,贵州盘州553535

出  处:《系统医学》2025年第7期40-43,共4页Systems Medicine

摘  要:目的 评估股骨近端防旋髓内钉(proximal femoral nail anti-rotation, PFNA)内固定术治疗股骨粗隆间骨折的临床价值,重点分析其对手术参数、功能恢复及并发症的影响。方法 回顾性选取2018年10月—2023年10月六盘水华佗正骨医院骨科收治的56例股骨粗隆间骨折患者的临床资料。按治疗方法分为PFNA组(实施PFNA内固定)和对照组(实施股骨近端解剖型锁定钢板内固定),每组28例。比较两组手术指标、Berg平衡量表评分、髋关节功能评分、并发症发生率。结果 PFNA组手术指标中手术时间、住院时间均短于对照组;术中出血量、术后引流量少于对照组,差异均有统计学意义(P均<0.05)。PFNA组术后6个月的Berg平衡量表及髋关节功能评分为(49.84±1.04)分、(85.41±3.74)分,均优于对照组的(43.92±1.67)分、(78.92±3.23)分,差异均有统计学意义(P均<0.05)。PFNA组患者未出现并发症,对照组并发症发生率为21.43%(6/28),差异有统计学意义(χ^(2)=4.667,P<0.05)。结论 在股骨粗隆间骨折治疗中,采用PFNA内固定术可以减少术中出血、术后引流量,且能够缩短手术时间,促进髋关节功能恢复,并且并发症发生率较低,具有较好的临床应用效果。Objective To evaluate the clinical value of proximal femoral nail anti-rotation(PFNA)internal fixation in the treatment of femoral intertrochanteric fractures,and to analyze its effects on surgical parameters,functional recov⁃ery and complications.Methods The clinical data of fifty-six patients with intertrochanteric femur fractures admitted to the Department of Orthopedics of Huatuo Orthopedics Hospital in Liupanshui from October 2018 to October 2023 were retrospectively selected.They were divided into PFNA group(implementing PFNA internal fixation)and control group(implementing anatomical locking steel plate internal fixation of the proximal femur)according to the treatment method,with twenty-eight cases in each group.The surgical indexes,Berg Balance Scale scores,hip function scores,and complication rates of the two groups were compared.Results Compared with the control group,the PFNA group showed shorter operation time and hospitalization time,as well as less intraoperative blood loss and postoperative drainage volume.and the differences were statistically significant(all P<0.05).The Berg balance scale and hip func⁃tion score of the PFNA group at 6 months after operation were 49.84±1.04 and 85.41±3.74,which were better than 43.92±1.67 and 78.92±3.23 of the control group,and the differences were statistically significant(all P<0.05).No com⁃plications occurred in the patients of the PFNA group,and the complication rate of the control group was 21.43%(6/28),the differences were statistically significant(χ^(2)=4.667,P<0.05).Conclusion In the treatment of intertrochanteric fracture of femur,PFNA internal fixation can reduce intraoperative bleeding and postoperative drainage,shorten the operation time,promote the recovery of hip joint function,and has a low incidence of complications,which has a good clinical application effect.

关 键 词:股骨粗隆间骨折 内固定 股骨近端防旋髓内钉 预后效果 髋关节 

分 类 号:R687[医药卫生—骨科学]

 

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