股骨近端防旋髓内钉治疗不稳定性老年股骨粗隆间骨折的临床分析

doi:10.3969/j.issn.10056483.2018.12.022

摘要/Abstract

摘要： [摘要] 目的：探讨股骨近端防旋髓内钉（PFNA）治疗不稳定性老年股骨粗隆间骨折的临床价值。方法：老年股骨粗隆间骨折病人100例，根据治疗方法的不同分为对照组与观察组，其中对照组51例，行股骨近端锁定加压钢板（LCP）治疗；观察组49例，行PFNA治疗。比较两组病人术后一般情况、髋关节功能、并发症发生情况、生活质量评分。结果：观察组病人手术时间（48.59±5.54）分钟、术中出血量（96.58±3.55）ml、术后下地时间（6.54±1.55）天、住院时间（7.26±1.22）天、骨折愈合时间（11.23±2.44）周；对照组分别为（78.59±5.56）分钟，（117.89±3.58）ml，（10.59±1.54）天，（15.59±1.24）天和（13.59±2.47）周，两组比较差异有统计学意义（P<0.05）。观察组病人优良占57.14%，较好占30.61%，尚可占10.20%，差占2.04%，对照组分别为39.22%、27.45%、23.51%和9.80%，两组比较差异有统计学意义（P<0.05）。两组髋关节功能和并发症发生率比较，差异有统计学意义（P<0.05）。观察组病人各项评分高于对照组（P<0.05）。结论：PFNA治疗不稳定性老年股骨粗隆间骨折，可缩短手术时间，减少术中出血量，改善髋关节功能。

关键词: 股骨近端防旋髓内钉, 不稳定性, 股骨粗隆间骨折, 髋关节功能

Abstract: [Abstract] Objective：To investigate the clinical analysis of the proximal femoral nail in treatment of unstable femoral intertrochanteric fracture with elderly patients.Methods：The clinical data of 100 elderly patients with femoral intertrochanteric fracture were analyzed retrospectively.Patients were divided into two groups according to the different treatment methods.51 patients in the control group received the locking compression plate（LCP），and 49 patients in the observation group received the PFNA.Then the postoperative general conditions，hip function，complications，and quality of life scores were compared between the two groups.Results：The operative time，intraoperative blood loss，first walking time，hospital stay，and fracture healing time were significantly shorter in the observation group[（48.59±5.54）min，（96.58±3.55）ml，（6.54±1.55）d，（7.26±01.22）d，（11.23±2.44）w]than in the control group[（78.59±5.56）min，（117.89±3.58）ml，（10.59±1.54）d，（15.59±1.24）d，（13.59±2.47）w]（P<0.05）.The observation group had higher rate of the excellent（57.14%）and good（30.61%）as well as lower rate of the fair（10.20%）and poor（2.04%）than those of the control group（39.22%，27.45%，23.51%，9.80%，respectively）（P<0.05）.The hip function between the two groups had significant difference（P<0.05）； The incidence of complications in the observation group（2.04%）was significantly lower than that in the control group（P<0.05）.The scores of patients in the observation group were higher than those in the control group（P<0.05）.Conclusion：The application of the PFNA can significantly shorten the operation time，intraoperative blood loss，improve hip function and postoperative patient quality of life for elderly patients with femoral intertrochanteric fracture.

Key words: proximol femorol nail antirotation, instability, femoral intertrochanteric fracture, hip joint function

赵灏, 陈世宏, 黄旭平. 股骨近端防旋髓内钉治疗不稳定性老年股骨粗隆间骨折的临床分析[J]. 临床外科杂志, 2018, 26(12): 962-964.

参考文献

Metrics

Viewed

Full text

Abstract

Cited

Shared

Discussed

本文评价

推荐阅读 10

[1]	宫念樵. 器官捐献供肾质量评估[J]. 临床外科杂志, 2016, 24(10): 729 .
[2]	黄洪锋. 关注公民逝世后器官捐献肾移植受体围手术期感染的预防与处理[J]. 临床外科杂志, 2016, 24(10): 732 .
[3]	杨华;李新长;龙成美;等. 公民逝世后器官捐献供肾移植临床分析[J]. 临床外科杂志, 2016, 24(10): 747 .
[4]	张忠伟;刘扬;路明. 痔上黏膜环切术治疗直肠前突所致出口梗阻型便秘的疗效观察[J]. 临床外科杂志, 2016, 24(10): 774 .
[5]	周观金;彭昊;陈森. 全膝关节置换治疗膝关节炎术后早期镇痛的研究进展[J]. 临床外科杂志, 2016, 24(10): 804 .
[6]	贺长林;黎秋曦;刘锋;等. 腹腔镜阑尾切除术中转开腹及再手术的处理体会[J]. 临床外科杂志, 2016, 24(10): 802 .
[7]	金鑫;周鹏;赵文超;等. 肾脏混合性上皮间质肿瘤一例[J]. 临床外科杂志, 2016, 24(10): 785 .
[8]	王维君;那光玮;何科基;等. 根治性淋巴结清扫联合脾切除在残胃癌手术中的临床意义探究[J]. 临床外科杂志, 2016, 24(11): 835 .
[9]	吴超;谢迪;汪全新;等. 胃癌肝转移的临床病理特征及危险因素分析[J]. 临床外科杂志, 2016, 24(11): 839 .
[10]	李晓辉;金太欣;邵永胜 . 升结肠回盲部肿瘤侵犯乙状结肠22例治疗体会[J]. 临床外科杂志, 2016, 24(11): 841 .