新型冠状病毒肺炎疫情期老年人股骨粗隆间骨折的手术治疗

目的 探讨新型冠状病毒肺炎疫情期老年人股骨粗隆间骨折围手术期的治疗。方法 2020年1月27日～2020年2月29日,对本科收治的10例老年股骨粗隆间骨折行股骨近端防旋髓内钉(PFNA)治疗。患者年龄68～83岁,平均年龄为(74.1±4.4)岁。针对新型冠状病毒肺炎特殊时期,笔者围手术期制定了详细的治疗方案,系统规范了从接诊患者、术前准备、术中操作及术后康复的各个环节。结果 10例老年股骨粗隆间骨折患者全部成功实施手术,手术时间为(44.2±7.4)min,术中出血量为(165.3±23.3)m L,术后引流量为(87.5±12.2)m L,平均住院时间为(12.9±0.7)d。患者住院期间无交叉感染,未出现疫情的播散,患者得到了安全有效的治疗。结论新型冠状病毒肺炎期间需严格规范诊治操作流程,注意加强防护。在疫情特殊时期针对临床上收治的老年股骨粗隆间骨折笔者采用了PFNA治疗方式,该治疗方式具有微创、出血少、手术操作时间短以及早期下地活动等优点。患者住院期间无交叉感染,未出现疫情的播散,患者术后对于治疗效果感到满意。

Surgical treatment of intertrochanteric fracture in elderly patients during the outbreak of COVID-19

Objective To observe the surgical treatment of intertrochanteric fracture in elderly patients during coronavirus disease 2019(COVID-19). Methods From January 27, 2020 to February 29, 2020, 10 elderly patients with intertrochanteric fracture of femur were treated with PFNA. They were aged from 68 to 83 years old, with an average age of (74.1±4.4) years. In view of COVID-19 special period, we have formulated detailed treatment plan during perioperative period, which systematically standardized all links from patient receiving, preoperative preparation, intraoperative operation and postoperative rehabilitation. Results The 10 cases of intertrochanteric fracture of femur were operated successfully. The operation time was (44.2±7.4) min, intraoperative bleeding volume was (165.3±23.3) mL, postoperative drainage volume was (87.5±12.2) mL, and the average hospitalization time was (12.9±0.7) d. There was no cross infection in the hospital and no spread of the epidemic. The patients were treated safely and effectively. Conclusion COVID-19 should be strictly standardized during the period of diagnosis and treatment, and attention should be paid to strengthening protection. In the special period of the epidemic, we used PFNA treatment for the elderly intertrochanteric fracture of femur, which has the advantages of minimally invasive, less bleeding, short operation time and early underground activities. There was no cross infection and no spread of the disease during the period of hospitalization. The patients are satisfied with the treatment effect after operation.