股骨近端髓内钉内固定在股骨粗隆间骨折治疗中的应用

目的：探讨股骨近端髓内钉内固定配合中医治疗在股骨粗隆间骨折治疗中的应用效果。方法方便选取2012年2月—2014年3月该院收治的100例股骨粗隆间骨折患者为研究对象，给予观察组50例股骨近端髓内钉内固定配合中医治疗，对照组50例行动力髋螺钉治疗，观察两组患者的临床疗效。结果观察组手术切口长度、术中出血量及手术时间明显短于对照组（P﹤0.05)；观察组Harris评分为90%，对照组为75%，观察组Harris评分明显更优（P﹤0.05)。观察组无感染发生，对照组4例深静脉血栓、3例髋内翻，观察组患者并发症发生率明显低于对照组（P﹤0.05)。结论股骨近端髓内钉内固定治疗中配合中医治疗，有效地减少股骨粗隆间骨折患者术后并发症，缩短骨折愈合时间，值得临床推广。

Treatment of Femoral Intertrochanteric with Proximal Nail Antirotation

Objective To observe the clinical efficacy of PFNA (proximal femoral nail anti-rotation) and Chinese medicine on senile femoral intertrochanteric fracture. Methods Convenient selection from February 2012 to March 2014, 50 cases of senile IFF (observation group) were treated with minimally invasive PFNA, while 50 cases (control group) were treated with PFNA and Chinese medicine. Observe the clinical efficacy of two groups. Results The incision length, blood loss and opera-tive time was significantly shorter than the control group (P﹤0.05). The Harris score of observation group was 90%, and the control group was 75%(P﹤0.05). No infection occurred in the observation group, but 4 cases of deep vein thrombosis and 3 cases of hip inversion occurred in the control groupt (P﹤0.05). Conclusion The proximal femoral intramedullary nail treat-ment with Chinese medicine, effective in reducing postoperative complications intertrochanteric fracture patients, shorten healing time, worthy of promotion.