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DHS、PFNA治疗股骨粗隆间骨折的疗效评价
引用本文:谢志云,王小勇,陈静,朱祖巍.DHS、PFNA治疗股骨粗隆间骨折的疗效评价[J].中国伤残医学,2010,18(4).
作者姓名:谢志云  王小勇  陈静  朱祖巍
作者单位:福建中医学院附属宁德市医院骨二科,福建,宁德,352100
摘    要:目的:评价DHS、PFNA在股骨粗隆间骨折治疗中的疗效。方法:39例股骨粗隆间骨折患者中,19例使用DHS固定,20例使用PFNA固定,从手术时间、出血量、术后引流量、住院天数、愈合时间、髋关节功能等方面比较分析。结果:PFNA组在手术时间、出血量、术后引流量、住院天数与DHS组比较的差异有统计学意义(P0.05);在愈合时间、Parker髋关节功能评分组间比较无统计学意义(P0.05)。结论:PF-NA是目前治疗股骨粗隆间骨折的理想内固定物之一。

关 键 词:股骨粗隆间骨折  内固定  DHS  PFNA

The Therapeutic Assessment of Proximal Femoral Nail Antirotation and Dynamic hip screw Operation on the Intertrochanteric Fracture of the Femur
Abstract:Objective:To assess PFNA and DHS operation on the intertrochanteric fracture of the femur.Methods:39 cases of intertrochanteric fracture of the femur,19 patients was treated with DHS operation,while 20 cases with PFNA,then we compared clinical therapy on the following aspects:median operation time,blood loss,drainage volume,length of stay,healing time,function of hip joint.Results:The operation time,the blood loss,the drainage volume and the length of stay in PFNA operation is less than DHS operation,there is no obvious difference in the healing time and the hip functional evaluation.Conclusion:The PFNA is one of the ideal methods which can be applied to treat the intertrochanteric fracture of the femur.
Keywords:DHS  PFNA
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