摘要
目的:对外侧壁危险型股骨粗隆间骨折患者使用动力加压髋螺钉(DHS)及抗旋股骨近端髓内钉(PFNA)治疗,对其临床效果进行评价。方法:收治外侧壁危险型股骨粗隆间骨折患者86例,采用DHS及PFNA术,分别对手术时间、术中出血量、切口长度、住院时间、术后骨折愈合时间、并发症及术后髋关节功能评分等进行对比分析。结果:与DHS组相比,PFNA组患者手术时间、术中失血量、切口长度、住院时间、愈合时间均减少,组间差异有统计学意义(P<0.05);PFNA组有效率明显高于DHS组,且并发症发生率较低,组间差异有统计学意义(P<0.05)。结论:PFNA改善效果明显、安全性较高、并发症少,有效促进功能的恢复,从而真正改善患者生活质量,帮助患者尽快痊愈。
Objective:To evaluate the clinical effect of dynamic compression hip screw(DHS)and anti proximal femoral nail(PFNA)for patients with lateral wall dangerous intertrochanteric fracture.Methods:86patients with severe intertrochanteric fracture of the lateral wall were treated with DHS and PFNA.The operation time,blood loss,incision length,length of stay,postoperative fracture healing time,complications and postoperative hip function score were analyzed and compared.Results:Compared with the DHS group,the operation time,blood loss,incision length,hospitalization time and healing time of the PFNA group were decreased,and the difference was statistically significant(P<0.05).The effective rate of the PFNA group was significantly higher than that of the DHS group,and the difference between groups was statistically significant(P<0.05).The complication rate was low.Conclusion:The improvement of proximal femoral nail(PFNA)is safe,with less complications,and it can effectively promote the recovery of function,so as to improve the quality of life of patients,and help patients recover as soon as possible.
作者
艾尼瓦尔.艾力
帕丽旦.木沙也夫
李新春
庞渊
Ainiwaer·Aili;Palidan·Mushayefu;Li Xinchun;Pang Yuan(Urumqi Traditional Chinese Medicine Hospital 830000;People's Liberation Army No. 474 Hospital 454150)
出处
《中国社区医师》
2017年第30期39-40,共2页
Chinese Community Doctors
