摘要
目的:比较分析超高龄股骨粗隆骨折患者应用股骨头置换与PFNA内固定治疗的治疗效果。方法:选择2013年6月-2015年6月本院收治的超高龄股骨粗隆骨折患者60例,随机分为对照组和观察组各30例,对照组采用股骨头置换进行治疗,观察组应用PFNA内固定进行治疗,比较术后治疗效果。结果:两组术中出血量、手术时间、术后并发症发生率、死亡率比较差异均无统计学意义(P>0.05)。观察组住院天数和卧床天数均短于对照组,比较差异均有统计学意义(P<0.05)。两组术后1、3、6个月Harris评分比较差异均有统计学意义(P<0.05);术后12个月Harris评分比较差异无统计学意义(P>0.05)。结论:治疗超高龄患者股骨粗隆骨折应用髋关节置换能缩短患者卧床时间及住院时间,是治疗超高龄患者股骨粗隆间骨折的有效方法,临床应用可根据实际情况进行选择。
Objective：To compare and analyze the therapeutic effect of femoral head replacement and PFNA internal fixation in the treatment of super aged patients with femoral intertrochanteric fracture.Method： A total of 60 senile patients with femoral intertrochanteric fracture in our hospital from June 2013 and 2015 June were randomly assigned to control group and observation group, 30 cases in each group,the control group were treated with femoral head replacement,the observation group were treated with PFNA internal fixation,and the postoperative treatment effect was compared.Result：Two groups of patients in the amount of bleeding,operation time,postoperative complications rate,mortality rate,the differences were not statistically significant（P〉0.05）.The hospitalization days and bed days of the observation group were shorter than that of the control group,the differences had statistical significance（P〈0.05）.The two groups after operation 1,3,6 months,Harris score differences had statistical significance（P〈0.05）,and postoperative differences in Harris score among the 12 months had no statistical significance（P〉0.05）.Conclusion：Treatment of very elderly patients with femoral intertrochanteric fracture application of hip arthroplasty can shortened the time patients stay in bed and hospitalization time,is the effective method in the treatment of elderly patients with femoral intertrochanteric fracture and clinical application can choose according to the actual situation.
出处
《中国医学创新》
CAS
2016年第14期45-48,共4页
Medical Innovation of China
基金
广东省医学科研基金(20091051000331)
关键词
超高龄患者
股骨粗隆骨折
股骨头置换
PFNA内固定
Super elderly patients
Intertrochanteric fracture
Femoral head replacement
PFNA fixation
