| 股骨近端防旋髓内钉内固定治疗股骨转子间骨折疗效研究 |
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| 引用本文： | 张伟明,向青天,陆万青,左红光. 股骨近端防旋髓内钉内固定治疗股骨转子间骨折疗效研究[J]. 临床合理用药杂志, 2012, 5(27): 20-21 |
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| 作者姓名： | 张伟明 向青天 陆万青 左红光 |
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| 作者单位： | 江苏省响水县人民医院骨科,224600 |
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| 摘 要： | 目的结合临床实践,总结股骨转子间骨折手术治疗经验。方法选取2008年1月—2011年1月我院收治股骨转子间骨折接受手术治疗的患者64例。随机将病例分为股骨近端防旋髓内钉(PFNA)组20例,动力髋螺钉(DHS)组20例,解剖钢板组24例。观察3组手术时间、术中出血量、术后引流量,治疗效果和并发症发生情况。结果 PFNA组术中出血量、术后引流量及术后并发症显著低于另外两组,差异有统计学意义(P<0.05)。3组手术时间、术后疗效间差异无统计学意义(P>0.05)。结论 PFNA内固定治疗股骨转子间骨折确切有效果,并发症少。
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| 关 键 词： | 髋骨折 股骨近端防旋髓内钉 内固定 |
Clinical Observation of the Efficiency of using PFNA to Treat Intertrochanteric Fracture |
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| Affiliation: | ZHANG Wei-ming,XIANG Qing-tian,LU Wan-qing,et al.Xiangshui People′s Hospital,Yancheng 224600,China |
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| Abstract: | Objective To summarize the experience of the surgery of intertrochanteric fracture by clinical practice.Methods Clinical data of 64 operated patients with intertrochanteric fracture from January 2008 to January 2011 were retrospectively analyzed.All patients were divided into three groups:PFNA group,DHS group and anatomy bone plate group randomly.Operate time,blood lose,draining volume,therapeutic efficacy and complications were analysesed in statistics.Results Blood lose,draining volume and complications of PFNA group have visible lower than the other two groups.Operate time and therapeutic efficacy were similar in the three groups.Conclusion Using PFNA internal fixation could effectively to treat intertrochanteric fracture and have more less complications. |
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| Keywords: | Hip fractures Proximal femoral nail antirotation Internal fixation |
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