PFNA治疗不稳定性老年股骨粗隆间骨折的疗效分析  

Analysis of Efficacy of PFNA in Treatment of Unstable Senile Femoral Intertrochanteric Fracture

作　　者：胡元生 高建明[1] 吕品 徐瑞生[2] 

机构地区：[1]江苏省无锡市锡山区锡北人民医院骨伤科,江苏无锡214000 [2]江苏省无锡市第三人民医院骨科,江苏无锡214000

出　　处：《中外医疗》2015年第23期32-33,共2页China & Foreign Medical Treatment

摘　　要：目的探析PFNA治疗不稳定性老年股骨粗隆间骨折的疗效。方法随机抽选该院2011年1月—2014年12月治疗的80例不稳定性老年股骨粗隆间骨折患者,分为两组:观察组与对照组,分别给予PFNA治疗与股骨近端解剖锁定钢板进行治疗,对比两组患者的临床疗效。结果观察组患者的术中出血量、手术时间分别是(111±34)m L、(44±16)min,对照组分别是(261±34)m L、(76±24)min,差异性显著(P<0.05)。观察组患者的骨折愈合时间是(13.5±2.5)周,对照组是(14.0±2.5)周,无显著差异性(P>0.05)。观察组患者的Harris功能评价优良率是92.5%,对照组是82.5%,显著差异性(P>0.05)。结论 PFNA治疗不稳定性老年股骨粗隆间骨折,能够提高患者骨折固定的稳定性,减轻患者受到的损伤。Objective To explore the effect of proximal femoral nail anti-rotation(PFNA) in the treatment of elderly patients with unstable femoral intertrochanteric fracture. Methods 80 elderly patients with unstable femoral intertrochanteric fracture admitted to our hospital between January 2011 and December 2014 were randomly selected and divided into observation group and control group, in which PFNA and proximal femur anatomic locking plate were used respectively for the treatment. The clinical effects were compared between the two groups. Results The intraoperative blood loss, operation duration, excellent-good rate according to Harris scores of the observation group and the control group were(111±34)m L,(44±16)min, 92.5% and(261±34)m L,(76±24)min,82.5%, and the differences were statistically significant(P>0.05). The fracture healing times of the two groups were(13.5±2.5)weeks and(14.0±2.5)weeks, and the difference was not statistically significant(P<0.05). Conclusion PFNA in the treatment of elderly patients with unstable femoral intertrochanteric fracture can provide good fixation and fewer damages to them.

关 键 词：PFNA治疗 不稳定性老年股骨粗隆间骨折 疗效 

分 类 号：R687.3[医药卫生—骨科学]