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DHS与PFNA治疗股骨粗隆间骨折的疗效比较
引用本文:徐志文,陈有芬,朱家骏,宋永进. DHS与PFNA治疗股骨粗隆间骨折的疗效比较[J]. 中国现代医生, 2011, 49(1): 97-98
作者姓名:徐志文  陈有芬  朱家骏  宋永进
作者单位:金华市人民医院骨科,浙江,金华,321000
摘    要:
目的比较动力髋螺钉(dynamic hip screw,DHS)与股骨近端螺旋刀片抗旋髓内钉(proximal femoral nail antirotation,PFNA)治疗股骨粗隆间骨折的疗效。方法60例股骨粗隆间骨折患者,分成DHS组和PFNA组。两组分别采用DHS内固定及PFNA内固定。结果60例患者骨折均骨性愈合。PFNA组优秀率83.33%,高于DHS组优秀率60.00%,差异具有显著性(P〈O.05);PFNA组手术平均用时及术中出血量均少于DHS组,PFNA组未发现明显并发症。结论PFNA内固定治疗股骨粗隆间骨折患者疗效佳,手术时间短,术中出血量少,而且也安全,值得临床进一步推广应用。

关 键 词:股骨粗隆间骨折  动力髋螺钉  螺旋刀片抗旋髓内

Comparison of Efficacy between DHS and PFNA in Treatment of Intertrochanteric Femur Fracture
XU Zhiwen,CHEN Youfen,ZHU Jiajun,SONG Yongjin. Comparison of Efficacy between DHS and PFNA in Treatment of Intertrochanteric Femur Fracture[J]. , 2011, 49(1): 97-98
Authors:XU Zhiwen  CHEN Youfen  ZHU Jiajun  SONG Yongjin
Affiliation:XU Zhiwen CHEN Youfen ZHU Jiajun SONG Yongjin Department of Orthopedics,Zhejiang Province Jinhua People's Hospital,Jinhua 321000,China
Abstract:
Objective To compare the therapy efficacy between dynamic hip screw(DHS) and proximal femoral nail antirotation(PFNA)in the treatment of intertrochanteric femur fracture.Methods Sixty cases of intertrochanteric femur fracture were divided into two groups:DHS group and PFNA group.Two groups were given DHS and PFNA fixation,respectively.Results All 60 cases showed bone union.The excellent rate of the PFNA group was 83.33%,higher than that(60.00%) of the DHS group,with a significant difference(P<0.05).The mean...
Keywords:Intertrochanteric femur fracture  Dynamic hip screw  Proximal femoral nail antirotation  
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