摘要
目的探讨微创PFNA-Ⅱ内固定术治疗老年不稳定型股骨粗隆间骨折的效果及其对髋关节功能的影响。方法选取我院125例老年不稳定型股骨粗隆间骨折患者作为研究对象,按照手术方式分为对照组(n=62)和观察组(n=63)。对照组行动力髋螺钉(DHS)治疗,观察组采用亚洲型股骨近端抗旋髓内钉(PFNA-Ⅱ)治疗。对比两组患者手术指标,随访6个月,对比髋关节功能及生活自理能力情况。结果观察组手术时间(t=15.303,P<0.05)、骨折愈合时间(t=5.272,P<0.05)、术口长度短于对照组(t=5.373,P<0.05),术中出血量(t=8.084,P<0.05)、术后引流量少于对照组(t=5.256,P<0.05);观察组术后1周(t=9.416,P<0.05)、1个月(t=9.297,P<0.05)、3个月时的Harris髋关节功能评分(t=14.471,P<0.05)、术后6个月时的Barthel指数高于对照组(t=27.774,P<0.05);观察组术后并发症发生率为1.59%低于对照组9.68%(χ^2=3.869,P<0.05)。结论微创PFNA-Ⅱ内固定术应用于年不稳定型股骨粗隆间骨折患者中通过改善患者手术指标,促进患者髋关节功能恢复,降低患者并发症发生率,从而有效提高患者生活自理能力。
Objective To investigate the minimally invasive PFNA-Ⅱ fixation treatment on elderly unstable intertrochanteric fracture and its effect on function of the hip.Methods 125 elderly patients with unstable intertrochanteric fractures in our hospital were selected as study subjects,and were divided into control group(n=62)and observation group(n=63)according to the surgical method.The control group was given dynamic hip screw(DHS)treatment,the observation group was given the Asian proximal femur anti rotary intramedullary nailing(PFNA-Ⅱ)treatment.Surgical indicators were compared between the two groups,followed up for 6 months,and hip function and self-care ability were compared.Results Observation group's operation time(t=15.303,P<0.05),fracture healing time(t=5.272,P<0.05),surgical port length shorter than control group(t=5.373,P<0.05),intraoperative blood loss(t=8.084,P<0.05),the postoperative drainage volume was less than that of the control group(t=5.256,P<0.05);the observation group was 1 week after surgery(t=9.416,P<0.05),1 month(t=9.297,P<0.05),Harris hip function score at 3 months(t=14.471,P<0.05),and Barthel index at 6 months after surgery were higher than those of the control group(t=27.774,P<0.05);observation group The postoperative complication rate was 1.59% lower than that of the control group 9.68%(χ^2=3.869,P<0.05).Conclusion Minimally invasive PFNA-Ⅱ fixation used in unstable patients with intertrochanteric fractures could improve operation indexes,promote the function recovery in patients with hip,reduce the complication rate of patients,so as to improve the life self-care ability of patients.
作者
刘凤刚
周守领
梁泉
LIU Feng-gang(No.1 Department of Bone,Zhecheng County People's Hospital,Zhecheng 476200,China)
出处
《牡丹江医学院学报》
2020年第6期65-67,共3页
Journal of Mudanjiang Medical University
