生物骨科材料与临床研究2017，Vol.14Issue(6)：22-26,5.DOI:10.3969/j.issn.1672-5972.2017.06.006
PFNA Ⅱ在不同平面的匹配度对于围手术期失血量的影响
Effects of PFNA Ⅱ on blood loss during perioperative period regarding different matching levels
章鸿 1虞宵 1张向鑫 1喻兆恒 1韦敏祥 1邹天明 1陈广祥1
作者信息
摘要
Abstract
Objective To investigate the effect of the ratios of marrow cavity diameter and intramedullary nail diameter from different layers on hidden blood loss,overt blood loss and total blood loss in the perioperative period during using PFNA Ⅱ for femoral intertrochanteric fracture.Methods We retrospectively studied 70 patients treated in our hospital from Jan 2015 to Nov 2016.Their age,gender,height,fracture type,preoperative and postoperative HTC,and overt blood loss during operation were analyzed.Total blood loss and hidden blood loss were calculated using CROSS equation.According to post-operative X-ray results,the ratios of marrow cavity diameter and intramedullary nail diameter from different layers,start of funnel,end of funnel and femoral isthmus,were measured,the mean of the ratio from frontal and lateral X-ray were designated as R.We classified the data into a high matching group (R is less than the median) and a low matching group (R is greater than or equal to the median) within each layer,and compared total blood loss,hidden blood loss and overt blood loss between the two groups.Hidden blood loss,as dependent variable,and age,fracture type and R,as independent variables were analyzed by using multiple linear regression.Results The hidden blood loss and total blood loss in the high matching group were significantly less than that in the low matching group on three layers (P＜0.05),however,there was no significant difference of overt blood loss.Only R values from start of funnel and end of funnel were correlated to hidden blood loss (P＜0.05).Conclusion The higher matching rate ofPFNA Ⅱ at the funnel is,the less hidden blood loss and total blood loss will be.关键词
髓内钉/隐性失血/股骨粗隆间骨折/围手术期/匹配度Key words
PFNA/Hidden blood loss/Femoral intertrochanteric fracture/Perioperative period/Matching rate分类
医药卫生引用本文复制引用
章鸿,虞宵,张向鑫,喻兆恒,韦敏祥,邹天明,陈广祥..PFNA Ⅱ在不同平面的匹配度对于围手术期失血量的影响[J].生物骨科材料与临床研究,2017,14(6):22-26,5.
