摘要
目的研究股骨近端防旋髓内钉(PFNA)与动力髋螺钉(DHS)固定对老年股骨粗隆间骨折(IFF)患者术后康复情况及髋关节功能评分标准(Harris)的影响。方法选取2012年9月至2013年9月于本院骨科接受治疗的IFF患者118例作为研究对象。其中PFNA固定62例(PFNA组);DHS固定56例(DHS组),对比两组患者手术情况、疗效、并发症以及治疗前后Harris评分。结果 PFNA组优良率为87.10%(54/62),DHS组为82.14%(46/56),两组疗效比较差异无显著性(P>0.05)。PFNA组患者手术时间、术中出血量以及术后引流量均显著少于DHS组,差异均有显著性(P均<0.05)。两组患者并发症比较差异无显著性(P>0.05)。治疗后两组患者Harris评分均显著上升,但组间比较差异无显著性(P>0.05)。结论 PFNA及DHS固定对老年IFF均有显著疗效,但PFNA的适用范围更广,临床应根据患者情况合理选择术式。
Objective To study comparative of PFNA and DHS between elderly patients with intertro-chanteric fracture of femur’s recovery after surgery and Harris scores. Method From September 2012 to September 2013, selected orthopedic treatment in our hospital of 118 cases of IFF patients as research subjects. Which surgical implement of PFNA 62 cases were classiifed as PFNA group;DHS surgical 56 cases were classiifed as DHS group, compared two groups of surgical condition, efifcacy, complications as well as before and after treatment’s Harris score. Result PFNA group’s excellent rate was 87.10%（54/62）, DHS group’s excellent rate was 82.14%（46/56）, compared the two groups in terms of efifcacy, the difference was not statistically signiifcant （P〉0.05）. The operative time, blood loss and postoperative drainage in PFNA group were signiifcantly less than DHS group, the differences were statistically signiifcant （P〈0.05）. The two groups in terms of complications, the difference was not statistically signiifcant （P〉0.05）. Two group’s Harris scores were increased signiifcantly after treatment, but the difference was not statistically signiifcant （P〉0.05） between two groups. Conclusion PFNA and DHS surgical in the treatment of IFF fractures in elderly is good, but the broader scope of PFNA in clinical choose should be a reasonable procedure.
出处
《中国医学前沿杂志（电子版）》
2014年第9期144-147,共4页
Chinese Journal of the Frontiers of Medical Science(Electronic Version)
