摘要
目的观察探讨动力髋螺钉(DHS)、Gamma钉、股骨近端髓内钉(PFN)在治疗股骨粗隆间骨折中的应用和疗效。方法对120例股骨粗隆间骨折的患者分别行DHS内固定、Gamma钉内固定和PFN内固定。术后根据Harris评分标准,对各组患者进行评价,并比较这三种治疗方法在手术时间、术中出血量、负重时间及愈合时间方面的差异。结果DHS组的总优良率为83.5%,Gamma钉组为85.7%,DCS组为88.4%,三组疗效差异无统计学意义(P>0.05);在平均手术时间、平均住院时间上,差异也无统计学意义(P>0.05);而在术中出血量、术后引流量及下地负重时间,PFN组明显优于其他两组(DHS组和Gamma组),(P<0.05)。结论各种固定有其优缺点,PFN是治疗粗隆间骨折最牢固的髓内固定方式,尤其适用于不稳定股骨粗隆间粉碎性骨折。
Objective To observe and discuss the application of DHS, Gamma nail, PFN and their effect in treatment of instable femoral intertrochanteric fractures. Methods One hundred and twenty patients with intertrochanteric fracture of femur were treated with dynamic hip screw （DHS）, Gamma nail or proximal femoral nail （PFN）. They were evaluated with Harris evaluation criteria, and operation time, blood loss, weight loading time and healing time were recorded and compared. Results There was no statistically significant difference in operation time and healing time among DHS group, Gamma group and PFN group （ P 〉 0.05 ）, while PFN was better than the others in blood loss, weight loading time and drainage after operation （ P 〈 0.05）. Conclusion Each procedure has its own advantages. PFN is the best internal fixation for treatment of femoral intertrochanteric fractures, especially in comminuted femoral intertrochanteric fractures.
出处
《临床和实验医学杂志》
2009年第3期47-48,共2页
Journal of Clinical and Experimental Medicine
