比较PFNA及股骨近端锁定板治疗老年性股骨转子间骨折临床探究.doc

比较PFNA及股骨近端锁定板治疗老年性股骨转子间骨折临床探究 　　【摘要】 目的：探讨股骨近端锁定钛板（PFLCP）和股骨近端髓内钉固定系统 （PFNA）治疗老年性转子间骨折的临床疗效。方法：本组研究选取2013年12月-2015年12月老年性股骨转子间骨折的临床患者76例，根据手术方式分为PFNA组与PFLCP组，每组各38例。观测指标包括：手术总时间、术中出血量、术后骨折愈合时间、Harris评分及并发症发生率。结果：76例患者均获得随访，随访时间平均为21个月。与PFLCP组比较，PFNA组手术时间短、术中出血量少、骨折愈合时间短，比较差异均有统计学意义（P0.05）。结论：PFNA手术方式治疗老年性股骨转子间骨折手术创伤小、术中出血量少、术后并发症发生率低，临床疗效满意 【关键词】 PFNA； 股骨近端锁定板； 老年性； 转子间骨折 The Clinical Studies of Comparing PFNA and Proximal Femoral Locking Plate for the Treatment of Senile Femoral Fractures between Rotor/ZHANG Zhi-min，ZHAO Zhan-fu，HUANG Chun-xia，et al.//Medical Innovation of China，2016，13（31）：006-009 【Abstract】 Objective：To explore the clinical curative effect of proximal femoral locking titanium plate （PFLCP） and proximal femoral intramedullary nail fixation system （PFNA） for the treatment of senile fracture between rotor.Method：76 cases of senile femoral fractures between rotor were collected from June 2014 to June 2016.According to the operation method they were divided into PFNA group and PFLCP group，38 cases in each group.The total operation time，intraoperative blood loss，postoperative fracture healing time，Harris score and the incidence of complications of two groups were observed.Result：The 76 cases all followed up for an average of 21 months.Compared with PFLCP group，PFNA group of shorter operation time， less intraoperative blood loss and shorter fracture healing time，the differences were statistically significant（P0.05）.Conclusion：Treatment of senile femoral fractures between the rotor with PFNA operation method has small surgical trauma，less intraoperative blood loss，lower incidence of postoperative complications，the clinical curative effect is satisfied. 【Key words】 PFNA； Proximal femoral locking plate； Elder； Fracture between the rotor First-authors address：The Linfen Peoples Hospital，Linfen 041000，China doi：10.3969/j.issn.1674-4985.2016.31.002 股骨转子间骨折在下肢骨折中发生率较高[1]，因老年人骨质疏松的特点，故好发于老年人。保守治疗因卧床时间长，并发症较多，故治疗以手术为主[2]。选择合适的手术方式，合理治疗股骨转子间骨