摘要
目的探讨老年患者股骨粗隆间骨折行动力股骨近端髓内钉内固定治疗的临床价值。方法选取2011年12月～2012年12月骨科收治的股骨粗隆间骨折患者68例,将患者分为两组,DHS组采取动力髋螺钉内固定(DHS)治疗,PFN组行股骨近端髓内钉内固定(PFN)治疗。结果 DHS组患者手术时间、住院时间、术中出血量相比PFN组均明显增加(P<0.05),两组患者Harris评分相比差异无统计学意义(P>0.05)。DHS组患者出现1例髋关节内翻,PFN组患者无髋关节内翻,两组患者均无其他明显并发症,并发症发生率分别为4.17%与0.0%,两组相比差异无统计学意义。结论股骨近端髓内钉内固定治疗老年股骨粗隆间骨折相比动力髋螺钉内固定治疗方式,具有手术时间短、住院时间短、术中出血量少的显著优势,同时治疗效果较好,临床价值较高。
Objective To discuss the clinical effect on internal fixation with proximal femoral nail in elderly patients＇ intertrochanteric fracture of femur. Methods 68 patients with the intertrochanteric fracture of femur treated in this hospital from December 2011 to December 2012 were divided into two groups. DHS group adopted the dynamic hip screw （DHS） for the internal fixation,while PFN group adopted the proximal femoral nail for the internal fixation. Results Patients in DHS group were significantly longer in operation time,hospitalization time and more amount in intraoperative bleeding than ones in PFN group（P 〈 0.05）, but there was no significant difference in Harris score between them（P 〉 0.05）. There was one case with the inversion of hip joint in DHS group,but none in PFN group. There were no other obvious complications in both groups and the incidence was 4.17% and 0 respectively,with no significant difference. Conclusion Compared to the internal fixation with the dynamic hip screw,the treatment of proximal femoral nail for the internal fixation in the elderly patients＇ intertrochanteric fracture of femur was shorter in operation time and hospitalization time and less amount in intraoperative bleeding,with the obvious curative effect and high clinical value.
出处
《中国医药科学》
2013年第8期193-194,共2页
China Medicine And Pharmacy
关键词
老年患者
股骨
粗隆间骨折
内固定
Elderly patient
Femur
Intertrochanteric fracture
Internalfixation
