摘要
目的 比较股骨近端抗旋髓内钉（PFNA）与解剖锁定钢板（ALP）治疗老年股骨粗隆间骨折的效果。方法 选取我院2012年1月~2014年4月收治的84例股骨粗隆间骨折老年患者作为研究对象,将其随机分成PFNA组（n=40）与ALP组（n=44）,PFNA组采用PFNA进行治疗,ALP组采用ALP进行治疗,比较两组患者的治疗效果。结果 随访18个月后,两组患者的骨折愈合时间差异无统计学意义（P〉0.05）,PFNA组的术中失血量显著少于ALP组,手术时间、下地时间显著短于ALP组,差异有统计学意义（P〈0.05）;两组的术后并发症发生率及髋关节功能优良率比较,差异无统计学意义（P〉0.05）。结论 PFNA和ALP对老年股骨粗隆间骨折均具有较好的治疗效果,但PFNA在手术时间、术后失血量及患者的术后恢复方面具有优势。
Objective To compare the effect of proximal femoral nail anti-rotation （PFNA） and anatomical locking plate （ALP） in treatment of elderly femoral intertrochanteric fracture. Methods 84 elderly patients with femoral intertrochanter- ic fracture treated by our hospital from January 2012 to April 2014 were selected as study object and they were ran- domly divided into PFNA group （n=40） and ALP group （n=44）,PFNA group was treated by PFNA,while ALP group was treated by ALP.Treatment effect of patients between two groups was compared. Results After 18 months follow-up,there was no statistical difference of healing time of fracture in patients between two groups （P〉0.05）.The blood loss volume during operation in PFNA group was obviously less than that of ALP group,and operation time,ambulation time in PF- NA group was significantly shorter than that of ALP group respectively,and there was a statistical difference （P〈0.05）. There was no statistical difference of incidence rate of complication,excellent and good rate of hip joint function after op- eration between two groups （P〉0.05）. Conclusion The therapeutic effect of PFNA and ALP are better in treatment of el- derly femoral intertrochanteric fracture.PFNA has advantages in operation time,postoperation blood loss,and postopera- tion recovery of patients.
出处
《中国当代医药》
2016年第7期101-103,共3页
China Modern Medicine
关键词
老年人
股骨粗隆间骨折
股骨近端抗旋髓内钉
解剖型锁定钢板
Elderly
Femoral intertrochanteric fracture
Proximal femoral nail anti-rotation
Anatomical locking plate
