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DHS和PFNA固定治疗老年股骨粗隆间骨折疗效比较 被引量:2

Comparison of DHS and PFNA in the Treatment of Intertrochanteric Fracture in the Elderly
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摘要 目的:分析老年股骨粗隆间骨折实施动力髋螺钉(DHS)、股骨近端螺旋刀片抗旋髓内钉(PFNA)固定疗法的效果.方法:从我院2014年1月~2016年1月收治的老年股骨粗隆间骨折患者中挑选46例,按入院编号平分2组:23例对照组实施DHS手术,23例研究组实施PFNA手术,统计2组患者的手术结果.结果:研究组疾病优良率为91.3%,对照组疾病优良率为65.2%,2组统计有区别,P〈0.05;研究组术后的髋关节功能评分、并发症率和对照组相比,P〈0.05,有区别.结论:临床给予老年股骨粗隆间骨折患者PFNA固定术式作用突出,可防止并发症,改善关节功能,增强疗效,值得借鉴. Objective: To analyze the effect of dynamic hip screw (DHS) and proximal femoral nail in the treatment of femoral intertrochanteric fracture in elderly patients with anti rotation intramedullary nail (PFNA). Methods: From our hospital in January 2014 to 2016 January femoral coarse intertrochanteric fracture patients selected 46 cases, admission number was equally divided into two groups according to: 23 cases of the control group, the implementation of DHS operation, 23 cases of study group PFNA, statistics of the two groups of patients with surgical outcome. Results: The excellent rate of disease in the study group was 91.3%, the excellent rate of the control group was 65.2%, the difference was statistically different between the two groups, P〈0.05;Postoperative hip function score, complication rate and control group were compared in the study group, P〈0.05, there were differences between the two groups. Conclusion: Clinical treatment of intertrochanteric fracture in elderly patients with PFNA fixation, can prevent complications, improve joint function, enhance the curative effect, it is worth learning from.
作者 王洪辉
出处 《中国伤残医学》 2017年第9期5-6,共2页 Chinese Journal of Trauma and Disability Medicine
关键词 股骨粗隆间骨折 DHS PFNA 临床疗效 Femoral intertrochanteric fracture DHS PFNA Clinical efficacy
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