摘要
目的:观察股骨近端防旋髓内钉(PFNA)内固定和人工股骨头置换治疗老年股骨转子间骨折的疗效。方法:收治老年股骨转子间骨折患者52例,采用PFNA内固定(A组)28例,人工股骨头置换(B组)24例。平均随访时间16个月。比较两组在手术时间、围手术期实际失血量、术后不良事件、Harris评分的差异。结果:A组手术时间、围手术期实际失血量明显低于B组,差异有统计学意义(P<0.05);两组术后不良事件差异有统计学意义(P<0.05);两组Harris评分在术后3个月差异无统计学意义(P>0.05),术后6个月、12个月差异有统计学意义(P<0.05)。结论:PFNA是治疗老年股骨转子间骨折的有效方法。它手术时间短,失血量少,术后不良事件少,功能恢复良好,疗效肯定,是理想的治疗老年股骨转子间骨折的方法。
Objective：To observe the cura-tive effect of proximalfemoral nail anti-rota-tion（PFNA） internal fixation and Artificial thigh bone reglacement treat intertrochan-teric fracture in the old.Methods：The patient of intertrochanteric fracture in the old 52 cases use PFNA internal fixation（group A） 28 cases,artificial thigh bone replace-ment（group B）24 cases from January 2009 to December 2012.The average follow-up time for 16 months.To compare the differences between two groups patients in time of oper-ation,Perioperative blood loss,Postoperative adverse events and Harris Score.Result：time of operation of group A and Perioperative blood loss are significantly lower than the group B,difference was statistically signifi-cant（P〈 0.05）;Difference of two groups of postoperative adverse events was statistical-ly significant（P 〈 0.05）;Difference of tow groups of Harris grades in three months after surgery is no statistical significance（P〉 0.05）,6 months and 12 months after surgery, difference was statistically significant（P〈 0.05）.Conclusion：PFNA is a effective meth-od for the treatment of intertrochanteric frac-ture in the old.It has advantages of shorter operation time,Less blood loss,less postoper-ative adverse events good functional recov-ery,curative effect affirmation,It Is an ideal method for the treatment of intertrochanteric fracture in the old.
关键词
PFNA内固定
股骨头置换
股骨转子间骨折
PFNA internal fixation
Femoralhead replacem
Intertrochanteric fracture
