摘要
目的：对股骨粗隆间骨折患者应用防旋股骨近端髓内钉（PFNA）临床治疗效果进行评价分析。方法选取40例股骨粗隆间骨折患者，应用 PFNA 内固定治疗，观察手术时间、术中出血量、骨折临床愈合时间、术后髋关节功能恢复程度、术后并发症。结果手术时间为60～120 min，平均（90．0±12．5）min；术中出血量200～600 mL，平均（380．8±58．0）mL；骨折临床愈合时间8～15周，平均（10．7±3．4）周；髋关节功能根据 Harris 评分，总体优良率92．5％；术后无并发症发生。结论PFNA 适用于各种类型粗隆间骨折，尤其适合老年人骨质疏松型骨折，具有操作简便、创伤小、固定牢固、骨折愈合快、并发症少等优点，值得临床推广使用。
Objective To evaluate the treatment effect of PFNA clinical analysis in patients with intertro-chanteric fracture application.Methods 40 cases of intertrochanteric fractures PFNA internal fixation treatment were selected,the operation time,intraoperative blood loss and fractures healing time,degree of hip joint function recovery after operation and the postoperative complications were observed.Results Operating time was 60 -120minutes,with an average of （90.0 ±12.5）minutes.Intraoperative blood loss volume was 200 -600mL,and the average volume was 380.8 plus or minus 58 ml.Fracture clinical healing time was 8 to 15 weeks,with an average of （10.5 ±2.5）weeks. According to Harris hip joint function score,the overall good rate was 85.5%.There were no postoperative complica-tions occurred.Conclusion PFNA applies to all types of intertrochanteric fractures,especially for the old type osteo-porosis bone fracture,which with simple operation,small trauma,fixed firmly,fracture healing fast and less complica-tions.It is worthy of clinical use.
出处
《中国基层医药》
CAS
2015年第16期2509-2512,共4页
Chinese Journal of Primary Medicine and Pharmacy
关键词
股骨粗隆间骨折
骨钉
骨折固定术
内
Intertrochanteric fractures
Bone nail
Fracture fixationInternal
