摘要
目的探讨股骨近端抗旋髓内钉(PFNA)内固定术治疗老年股骨粗隆间骨折的临床效果。方法回顾性分析我院2012年1月至2014年8月间收治的37例确诊老年不稳定型股骨粗隆间骨折且进行手术治疗患者资料。按照采取手术方式的不同,将患者分为PFNA组(20例)与DHS组(17例)。比较两组患者手术时间、术中出血量、住院时间、骨折愈合时间及疗效。结果 PFNA组患者平均手术时间、术中出血量、住院时间及骨性愈合时间均小于DHS组,差异有统计学意义(P<0.05)。术后髋关节Harris功能评分显示,PFNA组治疗优良率达85%,DHS组52.94%,差异有统计学意(P<0.05)。PFNA组患者出院6个月后GQOLI-74生活质量、躯体功能、心理功能、社会功能得分均高于DHS组,差异有统计学意义(P<0.05)。结论 PFNA内固定术治疗老年股骨粗隆间骨折手术时间较短、出血量较少、术后髋关节功能恢复较好,患者生活质量改善。
Objective To explore the clinical effectiveness of PFNA in treatment of elderly intertrochanteric fractures.Methods 37 patients with intertrochanteric fractures from January 2012 to August 2014 were enrolled with retrospective survey.The patients were divided into PFNA group with 20 cases and DHS group with 17 cases. The operation time,intraoperative blood loss,hospitalization time,fracture healing time,and Harris score were compared between the two groups. The scores of GQOLI-74 Quality of Life scale evaluation of two groups were compared after six months of discharge. Results The operative time,bleeding volume,hospitalization time and fracture healing time of PFNA group were less than that of DHS group（ P〈0. 05）. The postoperative hip joint function excellent rate was 85%,significantly higher than the 52. 94% of DHS group（ P〈0. 05）. The Quality of Life scale evaluation with GQOLI- 74 scale after 6 months of follow- up showed that PFNA group was higher than DHS group.Conclusion The treatment of PFNA fixation in intertrochanteric factures in elderly patents had shorter operative time,less blood loss and fine recovery of postoperative hip joint function.
出处
《四川医学》
CAS
2015年第12期1670-1673,共4页
Sichuan Medical Journal
关键词
股骨粗隆间骨折
老年人
股骨近端抗旋髓内钉
动力髋螺钉
内固定
intertrochanteric fracture
elderly
proximal femoral nail anti-rotation
dynamic hip screw
internal fixation
