摘要
目的比较动力髋螺钉(DHS)和股骨近端抗旋髓内钉(PFNA)治疗髋部骨折的效果。方法抽取2020年1月至2021年12月临汾市中心医院收治的髋部骨折患者84例,根据随机数字表法分为对照组(42例)和治疗组(42例)。治疗组采用PFNA手术治疗,对照组采用DHS手术治疗。比较两组的治疗效果、手术时间、术中出血量、骨折愈合时间及并发症发生率。结果治疗组治疗总有效率(97.62%,41/42)高于对照组(90.48%,38/42),P<0.05。治疗组手术时间、术中出血量和骨折愈合时间均少于对照组(P均<0.05)。治疗组并发症发生率(7.14%,3/42)低于对照组(19.04%,8/42),P<0.05。结论PFNA可减少髋部骨折患者的手术时间和骨折愈合时间,提高治疗总有效率并降低并发症发生率。
Objective To compare the effect of dynamic hip screw(DHS)and proximal femoral nail anti-rotation(PFNA)on hip fractures.Methods Eighty-four patients with hip fractures admitted to Linfen Central Hospital from January 2020 to December 2021 were selected,and they were divided into control group(42 cases)and treatment group(42 cases)according to random number table method.The treatment group was treated by PFNA surgery,and the control group was treated by DHS surgery.The therapeutic effects,operation time,intraoperative blood loss,fracture healing time and the incidence of complications were compared between the two groups.Results The total effective rate of the treatment group(97.62%,41/42)was higher than that of the control group(90.48%,38/42),P<0.05.The operation time,intraoperative blood loss and fracture healing time in the treatment group were lower than those in the control group(all P<0.05).The incidence of complications in the treatment group(7.14%,3/42)was lower than that in the control group(19.04%,8/42),P<0.05.Conclusions PFNA can reduce the operation time and fracture healing time of hip fractures patients,improve the total effective rate of treatment,and reduce the incidence of complications.
作者
刘琦
马翔宇
Liu Qi;Ma Xiangyu(Department of Orthopaedics,Linfen Central Hospital,Linfen 041000,China)
出处
《中国实用医刊》
2022年第16期68-70,共3页
Chinese Journal of Practical Medicine
关键词
髋部骨折
股骨近端抗旋髓内钉
动力髋螺钉
Hip fractures
Proximal femoral nail anti-rotation
Dynamic hip screw
