| 闭合复位髓内钉对高龄股骨粗隆间骨折患者的疗效 |
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| 引用本文： | 王永亮,蓝勇波,张雪锋,陈成,刘斐文,靳志强,金龙.闭合复位髓内钉对高龄股骨粗隆间骨折患者的疗效[J].南华大学学报(医学版),2018(5):465-467, 515. |
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| 作者姓名： | 王永亮 蓝勇波 张雪锋 陈成 刘斐文 靳志强 金龙 |
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| 作者单位： | 攀钢集团总医院骨科;四川 攀枝花 617023,攀钢集团总医院骨科;四川 攀枝花 617023,攀钢集团总医院骨科;四川 攀枝花 617023,攀钢集团总医院骨科;四川 攀枝花 617023,攀钢集团总医院骨科;四川 攀枝花 617023,攀钢集团总医院骨科;四川 攀枝花 617023,攀钢集团总医院骨科;四川 攀枝花 617023 |
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| 摘 要： | 探讨闭合复位联合防旋股骨近端髓内钉(PFNA)和动力髋加压螺钉(DHS)在高龄股骨粗隆间骨折中的差异。选择不稳定型股骨粗隆间骨折患者,分为48例PFNA治疗(PFNA组)和40例DHS治疗(DHS组),比较两组患者手术效果。PFNA组手术时间、骨折愈合时间、术后负重时间、切口长度均短于DHS组,术中出血量少于DHS组,差异显著(P＜0.05)；PFNA组并发症发生率低于DHS组(12.50% vs 25.00%),差异显著(P＜0.05)；但两组患者在Harris评分及VAS评分比较均无显著差异(P＞0.05)；PFNA组在治疗结束时SF-36各维度评分均明显优于DHS组,差异显著(P＜0.05)。PFNA治疗高龄股骨粗隆间骨折优于DHS,值得推广和应用。
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| 关 键 词： | 防旋股骨近端髓内钉 动力髋加压螺钉 股骨粗隆间骨折 生命质量 骨科手术 |
| 收稿时间： | 2017/12/27 0:00:00 |
| 修稿时间： | 2018/5/18 0:00:00 |
The effect of closed reduction and intramedullary nailing on postoperative pain, limb function and quality of life in elderly patients with intertrochanteric fracture |
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| WANG Yongliang,LAN Yongbo,ZHANG Xuefeng,CHEN Cheng,LIU Feiwen,JIN Zhiqiang and JIN Long.The effect of closed reduction and intramedullary nailing on postoperative pain, limb function and quality of life in elderly patients with intertrochanteric fracture[J].Journal of Nanhua University(Medical Edition),2018(5):465-467, 515. |
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| Authors: | WANG Yongliang LAN Yongbo ZHANG Xuefeng CHEN Cheng LIU Feiwen JIN Zhiqiang and JIN Long |
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| Institution: | Department of Orthopedics, General Hospital of Panzhihua Iron and Steel Group; Panzhihua 617023, Sichuan, China,Department of Orthopedics, General Hospital of Panzhihua Iron and Steel Group; Panzhihua 617023, Sichuan, China,Department of Orthopedics, General Hospital of Panzhihua Iron and Steel Group; Panzhihua 617023, Sichuan, China,Department of Orthopedics, General Hospital of Panzhihua Iron and Steel Group; Panzhihua 617023, Sichuan, China,Department of Orthopedics, General Hospital of Panzhihua Iron and Steel Group; Panzhihua 617023, Sichuan, China,Department of Orthopedics, General Hospital of Panzhihua Iron and Steel Group; Panzhihua 617023, Sichuan, China and Department of Orthopedics, General Hospital of Panzhihua Iron and Steel Group; Panzhihua 617023, Sichuan, China |
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| Abstract: | To investigate the effects of closed reduction, proximal femoral nail (PFNA) and dynamic hip screw (DHS) on postoperative pain, limb function and quality of life in elderly patients with intertrochanteric fracture.Patients with unstable intertrochanteric fractures were selected, with 48 cases in group PFNA and 40 cases in group DHS, and the results of the two groups were compared. In PFNA group, operation time, fracture healing time, postoperative weight-bearing time, incision length were shorter than the DHS group, the amount of intraoperative bleeding was significantly less than that of group DHS (P<0.05); the complication rate of PFNA group was lower than that of DHS group (12.50% vs 25.00%), with significant difference (P<0.05); but the two groups of patients in the Harris and VAS scores showed no significant difference (P>0.05); PFNA group SF-36 the score at the end of treatment were significantly better than the DHS group, with significant difference (P<0.05).PFNA is superior to DHS in the treatment of intertrochanteric fracture in elderly patients, and is worthy of popularization and application. |
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