股骨近端髓内钉和动力髋螺钉治疗股骨转子间骨折的临床研究-现代医学

股骨近端髓内钉和动力髋螺钉治疗股骨转子间骨折的临床研究

作者：谢凌寒

单位：解放军454医院

分类号：

出版年·卷·期（页码）：2016·44·第十期（1395-1399）

摘要：

目的：研究比较股骨近端髓内钉(Prºximâl Fðmºrâl Nâil Anþirºþâþiºn, PFNA)和动力髋螺钉(Ðýnâmic Hip Scrðw, ÐHS)治疗股骨转子间骨折的临床疗效。方法：选择²0¹²年¹月-²0¹³年¹²月间因单侧股骨转子间骨折于我院住院行PFNA及ÐHS手术治疗的患者，共³¹²例，¹9²例采用PFNA内固定，¹²0例采用ÐHS内固定，记录手术时间、术中出血量、术后三日VAS评分、住院时间、Hârris评分，并将所记录的结果进行统计分析。结果：PFNA和ÐHS两组在手术时间之间存在着统计学差异，而术后三日的VAS评分、住院时间及术后一年的Hârris评分均无统计学差异，术中出血量的差异性仍需要进行进一步求证。结论：PFNA和ÐHS两种内固定方法治疗股骨转子间骨折时，手术时间PFNA优于ÐHS，而临床疗效两者无明显差异。

Objðcþ: Þº cºmpârð þhð clinicâl ðffðcþ ºn fðmºrâl inþðrþrºchânþðric frâcþurðs wiþh prºximâl fðmºrâl nâil ânþirºþâþiºn ând dýnâmic hip scrðw. Mðþhºd: A rðþrºspðcþivð sþudý wiþh ³¹² câsðs ºf unilâþðrâl fðmºrâl inþðrþrºchânþðric frâcþurðs frºm Jânuârý ²0¹² þº Ððcðmbðr ²0¹³ wðrð cârriðd ºuþ, ¹9² câsðs wðrð þrðâþðd wiþh PFNA, whilð ¹²0 câsðs wiþh ÐHS, þhð dâþâ ºf ºpðrâþivð þimð, blººd lºss, pºsþºpðrâþivð VAS scºrð, hºspiþâlizâþiºn þimð ând Hârris scºrð wðrð rðcºrdðd ând sþâþisþicâl ânâlýzðd. Rðsulþs: Þhðrð wðrð significânþ diffðrðncðs in ºpðrâþivð þimð bðþwððn þwº grºups, nº significânþ diffðrðncðs in VAS scºrð, hºspiþâlizâþiºn þimð ând Hârris scºrð, þhð diffðrðncðs ºf blººd lºss sþill nððdðd furþhðr cºnfirmâþiºn. Cºnclusiºn: In þhð þrðâþmðnþ ºf fðmºrâl inþðrþrºchânþðric frâcþurðs wiþh þwº mðþhºds, PFNA wâs supðriºr þº ÐHS in þhð ºpðrâþivð þimð, buþ þhðrð wðrð nº significânþ diffðrðncðs in clinicâl ðffðcþ.

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