股骨近端防旋髓内钉治疗股骨转子间骨折疗效研究

目的探讨股骨近端防旋髓内钉(PFNA)对股骨转子间骨折的治疗效果。方法随机选择该院2012年12月至2014年12月收治的股骨转子间骨折患者100例,分为实验组和对照组两组,每组各50例。实验组给予PFNA治疗,对照组给予动力髋螺钉(DHS)治疗。比较两组患者的治疗效果。结果实验组术中出血量、手术时间、治疗有效率、术后并发症发生率等指标优于对照组(P0.05),围术期血红蛋白丢失量比较差异无统计学意义(P0.05)。结论 PFNA治疗股骨转子间骨折并发症少,切口小,骨折愈合时间短,疗效更佳,值得临床推广应用,但需要重视及及时纠正术后隐性失血。

Treatment effects of proximal femoral intramedullary nail anti-rotation in patinetns with femoral intertrochanteric fractures

Objective To evaluate the treatment effects of proximal femoral intramedullary nail anti‐rotation(PFNA) in patients with femoral intertrochanteric fractures .Methods A total of 100 patients with femoral intertrochanteric fractures ,admitted from Dec .2012 to Dec .2014 ,were enrolled and divided into experiment group and control group with 50 patients in each group .Patients in control group were treated with dynamic hip screw (DHS) ,while patients in experiment group were treated with PFNA .The treatment effects were compared between the two groups .Results The volum of blood loss ,operation time ,therapeutic effective rate ,and incidence rate of complications in experiment group were significantly better than control group (P<0 .05) .There was no significant difference of hemoglobin loss during peri‐operation period between the two groups(P>0 .05) .Conclusion PFNA treat‐ment for femoral intertrochanteric fractures might be with less complications ,smaller incision and shorter period of the concres‐cence ,and worth for clinic application .While postoperative recessive bleeding should be paid more attention and corrected timely .