摘要
目的：比较经皮加压钢板（ PCCP）和动力髋螺钉（ DHS）治疗老年稳定型股骨粗隆间骨折的疗效。方法：80例老年稳定型股骨粗隆间骨折患者随机分为PCCP组和DHS组，每组各40例。2组患者均随访1年。比较2组患者手术时间、术中出血量、切口长度、术后48小时疼痛VAS评分、骨折愈合时间、术后并发症发生率和术后1年髋关节功能Harris评分。结果：PCCP组患者手术时间、术中出血量、切口长度和术后48小时疼痛VAS评分明显少于DHS组，差异均有统计学意义（ P＜0．05）；2组患者骨折愈合时间、术后并发症发生率和术后1年髋关节功能Harris评分比较，差异均无统计学意义（P＞0．05）。结论：PCCP和DHS内固定均可治疗老年稳定型股骨粗隆间骨折，但PCCP明显缩短手术时间和减少手术创伤，值得临床推广。
Objective：To compare the efficacy of percutaneous compression plating （ PCCP） and dynamic hip screw （ DHS） in the treatment of elderly patients with stable intertrochanteric fracture.Methods： 80 elderly patients with stable intertrochanteric fracture were randomly divided into the PCCP group and DHS group, which contained 40cases respectively .All the patients were followed up for 1 year.The operative time, intraoperative blood loss, incision length, VAS scores at 48 h after the operation, fracture healing time, inci-dence of complications and Harris scores in 1 year after the operation were compared between the two groups.Results： The operative time, intraoperative blood loss, incision length and VAS scores at 48h after the operation in the PCCP group were significantly less com -pared with the DHS group （all P〈0.05）.There were no significant differences in the fracture healing time, incidence of complications and Harris scores in 1 year after the operation between the two groups （all P〉0.05）.Conclusion：Both PCCP and DHS were excellent materials for internal fixation in the treatment of elderly patients with stable intertrochanteric fracture.However, the PCCP showed the ad-vantages of shorter operative time and minimal invasion, and consequently being worthy of further promotion in the clinic.
出处
《中国伤残医学》
2015年第19期4-6,共3页
Chinese Journal of Trauma and Disability Medicine
