摘要
目的探讨股骨近端髓内钉内固定术(PFNA)治疗老年创伤性股骨粗隆间骨折的疗效。方法回顾性分析2016年8月至2019年10月江苏省丰县人民医院收治的90例老年创伤性股骨粗隆间骨折患者为研究对象,按照不同治疗方法将患者分为对照组和观察组,每组45例。对照组采用保守方式治疗,观察组采用手术方式治疗(PFNA内固定术)。比较两组治疗效果、髋关节功能评分及并发症发生率。结果观察组治疗有效率显著高于对照组(95.56%vs.75.00%),并发症发生率低于对照组(6.67%vs.22.22%),差异有统计学意义(P<0.05)。治疗后两组患者的髋关节功能均得以提升,且观察组髋关节功能评分显著高于对照组(P<0.05)。结论针对老年创伤性股骨粗隆间骨折患者,PFNA不仅治疗效果好,促使患者的髋关节功能得以提升,而且安全性高。
Objective To investigate the effect of proximal femoral nail fixation(PFNA)in the treatment of traumatic intertrochanteric fracture in the elderly.Methods A retrospective analysis was performed on 90 elderly patients with traumatic intertrochanteric fracture treated in Fengxian County People's Hospital of Jiangsu Province from August 2016 to October 2019.According to different treatment methods,the patients were divided into a control group and an observation group,with 45 cases in each group.The control group was treated with conservative methods,and the observation group was treated with surgical methods(PFNA).The therapeutic effects,Harris scores and the incidences of complications of the two groups were compared.Results The effective rate of the observation group was higher than the control group(95.56%vs.75.00%),while the incidence of complication in the observation group was lower than the control group(6.67%vs.22.22%),and the differences were statistically significant(P<0.05).After treatment,the Harris scores of both groups were improved,and the score of the observation group was significantly higher than the control group(P<0.05).Conclusion For the elderly patients with traumatic intertrochanteric fracture of femur,PFNA not only has a good therapeutic effect and promotes the function of hip joint,but also has a high safety.
作者
王业伟
WANG Yewei(Fengxian County People's Hospital of Jiangsu Province,Xuzhou,Jiangsu 221700,China)
出处
《大医生》
2020年第7期48-50,共3页
Doctor
关键词
股骨近端髓内钉内固定术
创伤性股骨粗隆间骨折
老年
proximal femoral nail fixation
traumatic intertrochanteric fracture of the femur
elder
