摘要
目的探讨股骨近端螺旋刀片抗旋转髓内钉(proximal femoral nail antirotation,PFNA)与动力髋螺钉(dy-namic hip screw,DHS)治疗老年股骨粗隆间骨折疗效比较。方法选取我科自2008年8月～2010年5月间收治的70例老年股骨粗隆间骨折采用以上两种手术方案治疗患者,随机分为PFNA组及DHS组,PFNA组40例,DHS组30例,比较两组术后疗效。术后效果评估采用Harris髋关节功能评分系统评价术后髋关节功能。结果 PFNA组及DHS组治疗稳定型移位不明显的股骨粗隆间骨折(A1,A2.1)术后优良率均达100%,手术疗效差异无统计学意义;治疗A2.2,A2.3,A3型骨折PFNA组术后优良率明显高于DHS组,差异有统计学意义(P<0.05)。结论对于稳定型股骨粗隆间骨折,PFNA与DHS两种手术治疗均能取得较好效果,对于不稳定型骨折,特别是反转子间骨折,PFNA组无论在术后优良率,还是手术时间,术中出血上效果都优于DHS组。
Objective To compare the therapy efficacy between dynamic hip screw（DHS） and proximal femoral nail an- firotatlon （PFNA） in the treatment of intertrochanter/e femur fracture. Methods Seventy eases of intertrochanteric femur fracture （ fromAugust 2008 to May 2010） were divided into two groups：DHS group （30cases）and PFNA group（40cases）. Two groups were given DHS and PFNA fixation respectively. Results All stable intertroehanterie femur fracture obtained an excellent rate of 100 percent. The excellent rate of PFNA group was higher than the DHS group in the treatment of unstable intertrochanterie femur frac- ture ,with a significant difference（P 〈 0. 05 ）. Conclusion Two groups have all good efficacy in the treatment of stable intertro- ehanterle femur fracture. PFNA shows a better efficacy ,less operative time and blood loss in the treatment of unstable intertrochan- teric femur fracture.
出处
《四川医学》
CAS
2012年第8期1398-1400,共3页
Sichuan Medical Journal
关键词
股骨粗隆间骨折
动力髋螺钉
螺旋刀片抗旋髓内钉
proximal femoral nail anfirotation
dyamic hop screw
intertrochanterie femur fracture
