三种治疗老年股骨转子间周围骨折的效果比较

目的比较3种治疗老年股骨转子间周围骨折的临床效果。方法将60患者分成3组,分别采用DHS治疗、PFN治疗和PFNA治疗。结果在DHS、PFN和PFNA3组中,平均手术时间差异无统计学意义(P>0.05);PFN组的平均出血量最少(104.7±61.7),平均出血量差异有统计学意义(P<0.05);从髋关节功能Harris评分中可以看出,受伤前、术后3个月、术后6个月的3组内两两之间差异无统计学意义(P>0.05);术后1个月的PFN组和PFNA组的恢复速度明显优于DHS组,DHS组与PFN组和PFNA组之间差异无统计学意义(P<0.05)。结论采用PFN方法进行治疗老年股骨转子间周围骨折的效果会更好。

Comparative Study of DHS,PFN and PFNA for the Treatment of Intertrochanteric Fractures

Objective To compare the clinical effect of DHS,PFN and PFNA in the treatment of intertrochanteric fractures.Methods 60 patients were divided into three groups,DHS group（n=22）,PFN group（n=23） and PFNA group（n=15） and they were treated with DHS,PFN and PFNA treatment respectively.The clinical data of the patients were analyzed statistically through t test.Results Among the DHS,PFN and PFNA group,there was no statistically difference in the mean operative time（P0.05）;The average amount of bleeding of the PFN group was the least（104.7±61.7）,while that of the DHS group was the most（265.6±85.3）.There were significant statistically differences among the three groups（P0.05）;According to Harris hip score,before the injury,3 months and 6 months after operation,there were no statistically differences among the three groups（P0.05）;The recovery rates of PFN group and PFNA group were significantly better than that of the DHS group 1 month after operation,the difference was statistically significant（P0.05）.Conclusion Among the three methods,PFN treatment was the best for the treatment of intertrochanteric fractures.