检验医学与临床Issue(8)：1032-1033,1036,3.DOI:10.3969/j.issn.1672-9455.2014.08.011
动力髋螺钉与股骨近端髓内钉治疗老年股骨粗隆间骨折的疗效比较
Comparison of curative effect of dynamic hip screw and proximal femoral nail in the treatment of intertrochanteric frac-tures in elderly patients
摘要
Abstract
Objective To observe and compare the curative effect of dynamic hip screw (DHS) and proximal femoral nail (PFN ) in the treatment of elderly intertrochanteric fracture .Methods A total of 98 cases of elderly pa-tients with intertrochanteric fracture were randomly divided into two groups ,with 49 cases for each group .DHS fixa-tion (DHS group) and PFN fixation (PFN group) were performed ,and surgical information (operative time ,blood loss ,incision length) ,the incidence of complications and healing time were compared between the two groups .Harris method was used to evaluate hip joint function .Results Fineness rate of hip joint in PFN group was 87 .76% ,which was significantly different with the 71 .43% of DHS group (P<0 .05) .Healing time ,incision length ,operative time and blood loss of PFN group were (9 .8 ± 1 .5) weeks ,(8 .9 ± 1 .5)cm ,(90 .5 ± 12 .5)min and (180 .2 ± 87 .5)mL , which were lower than the (12 .8 ± 2 .5) weeks ,(5 .2 ± 0 .8)cm ,(100 .5 ± 15 .6)min and (275 .6 ± 80 .5)mL of DHS group (P<0 .05) .The incidence rate of complications in PFN group was 14 .29% ,higher than the 2 .04% in DHS group (P<0 .05) .Conclusion Curative effect of PFN for the treatment of intertrochanteric fractures could be supe-rior to DHS ,and be with less complications .关键词
老年/股骨粗隆间骨折/动力髋螺钉/股骨近端髓内钉Key words
elderly/intertrochanteric fracture/hip screw/proximal femoral nail引用本文复制引用
丁洪,陈彦,何应英..动力髋螺钉与股骨近端髓内钉治疗老年股骨粗隆间骨折的疗效比较[J].检验医学与临床,2014,(8):1032-1033,1036,3.基金项目
重庆市卫生局科研基金资助项目（2012-2-324）。 （）
