摘要
目的通过比较了解股骨近端髓内钉与股骨近端锁定钢板治疗股骨转子间骨折的临床疗效。方法选择手术治疗的152例股骨转子间骨折患者,根据手术方式分为髓内钉组(n=80)及近端锁定钢板组(n=72),髓内钉组采用股骨近端髓内钉治疗,近端锁定钢板组采用股骨近端锁定钢板治疗,观察两组的手术时间、术中出血量、住院时间、平均愈合时间及Harris髋关节功能评分。结果髓内钉组在手术时间、术中出血量、住院时间、平均愈合时间及关节功能评分均优于近端锁定钢板组(P<0.05)。结论股骨近端髓内钉治疗股骨转子间骨折临床疗效确切,符合现代微创观点,疗效优于股骨近端锁定钢板。
Objective To investigate the efficacy of proximal femoral locking plate and Proximal femoral nail（ PFNA） in the treatment of intertrochanteric fractures. Methods Totally 152 cases of intertrochanteric fractures were selected from October 2012 to January 2015 in our hospital. All the patients were separated into PFNA group（ n = 80） and locking plate group（ n = 72）. The occurrence of operative time,blood loss,length of study,mean time of fracture healing and Harris joint function score was compared. Results The operative time,blood loss,length of study,mean time of fracture healing and Harris joint function score of PFNA group were better than locking plate group with significance. Conclusion PFNA was more effective than proximal femoral locking plate in the treatment of intertrochanteric fractures.
出处
《医药论坛杂志》
2015年第12期66-68,共3页
Journal of Medical Forum
