两种不同内固定方法治疗股骨粗隆间骨折的疗效比较分析(1)
 |
| 第1页 |
参见附件。
[摘要] 目的 比较分析动力髋螺钉(DHS)和防旋股骨近端髓内钉(PFNA)内固定治疗股骨粗隆间骨折的疗效。 方法 56例股骨粗隆间骨折患者随机分为PFNA组和DHS组各28例，观察比较两组患者的手术时间、术中出血量、骨折愈合时间以及Harris评分及并发症情况。 结果 PFNA组手术用时少、术中出血量少、骨折平均愈合时间短，与DHS组比较差异显著，且PFNA组术中术后并发症发生率明显低于DHS组，差异有统计学意义(P < 0.05)。PFNA组和DHS组两组髋关节Harris评分疗效相似，两组优良率比较，差异无统计学意义(P > 0.05)。 结论 相对于DHS，PFNA内固定具有手术用时少、术中出血量少、骨折平均愈合时间短、术中及术后并发症少等优点，更适合于临床推广和应用。
[关键词] 股骨粗隆间骨折；动力髋螺钉；防旋股骨近端髓内钉
[中图分类号] R687.3 [文献标识码] B [文章编号] 1673—9701(2012)26—0043—02
Comparative analysis of two different fixations for intertrochanteric fractures
ZHAO Qiang
Department of Orthopedics， Xinyang Central Hospital， Henan Province， Xinyang 464000， China
[Abstract] Objective To compare the dynamic hip screw (dynamic hip screw， DHS) and anti—spin proximal femoral intramedullary nail (proximalfemornal nail antirotation， PFNA) internal fixation in the treatment of intertrochanteric fractures. Methods Fifty—six cases intertrochanteric fractures were randomly divided into 28 cases of the PFNA group and DHS group，and the operative time， intraoperative amount of bleeding， healing time and the Harris hip score and complications were observed and compared between the two groups. Results PFNA group had less surgery time， less blood loss， mean fracture healing time was short， compared with the DHS group，the difference was significant between PFNA group and DHS group； the postoperative complication rate of PFNA group was significantly lower than the DHS group， and the difference was significant (P < 0.05). PFNA group and DHS group had similar excellent and good rate of hip Haris score ......
您现在查看是摘要介绍页，详见PDF附件(1912kb)。