pfna治疗老年不稳定型股骨转子间骨折的临床疗效分析.docVIP

PFNA治疗老年不稳定型股骨转子间骨折的临床疗效分析 　　[摘要] 目的 旨在探?PFNA治疗老年不稳定型股骨转子间骨折的临床疗效，并与DHS内固定的疗效进行对比分析。 方法 选择2013年12月～2015年12月我院住院行手术治疗的高龄老年股骨转子间骨折患者80例，将其中应用PFNA内固定的40例设立为研究组，应用DHS内固定治疗的40例设立为对照组，对两组的手术效果及手术观察指标、VAS评分及髋关节功能Harris评分进行对比分析。 结果 研究组优良率达92.50%，明显高于对照组，组间比较差异具有显著统计学意义（P 　　[关键词] 股骨转子间骨折；老年；不稳定型；PFNA 　　[中图分类号] R683.42 [文献标识码] B [文章编号] 1673-9701（2017）10-0066-04 　　Analysis of the clinical efficacy of PFNA in the treatment of unstable intertrochanteric fractures in the elderly patiens 　　SHAN Xianzhen1 LUO Xingliang1 WU Jian1 JIN Liang1 ZHOU Youlong1 XU Hongwei1 LIANG Wei2 　　1.Department of Orthopedics， Changxing Branch， the Second Affiliated Hospital of Zhejiang University School of Medicine，Changxing County People’s Hospital， Hangzhou 313100， China； 2.Lishui People’s Hospital in Zhejiang Province， Lishui 323000， China 　　[Abstract] Objective To explore the clinical efficacy of PFNA in the treatment of unstable intertrochanteric fractures in the elderly， and to compare with the efficacy of DHS internal fixation. Methods 80 elderly patients with femoral intertrochanteric fractures who were hospitalized in our hospital to receive surgical treatment from December 2013 to December 2015 were selected. 40 patients receiving PFNA internal fixation were assigned to the study group， and 40 patients receiving DHS internal fixation were assigned to the control group. The surgical effect， surgical observation index， VAS scores and Harris score of hip joint function were compared between the two groups. Results The excellent and good rate in the study group was 92.50%， which was significantly higher than that in the control group. The difference between groups was statistically significant（P 　　[Key words] Intertrochanteric fractures； The elderly； Unstable； PFNA 　　随着我国人口老龄化的加剧，老年骨质疏松患者逐年增多，使老年股骨转子间骨折的发生率逐年增加。股骨转子间骨折是常见的髋部骨折之一，多见于高龄老年人，主要以不稳定型骨折为主[1]。高龄老年股骨转子间骨折患者保守治疗由于长时间卧床易产生褥疮、肺部感染、泌尿道感染等并发症，因此保守治疗效果欠佳[2]。目前临床对老年股骨转子间骨折多采取手术内固定治疗，坚固而有效的内固定，对减少畸形愈合、促进髋关节功能恢复至关重要[3]。目前对股骨转子间骨折主要采取手术内