摘要
目的分析比较新一代股骨近端髓内钉(InterTan)、动力髋螺钉(DHS)和股骨近端髓内钉(PFNA)三种方法对老年骨质疏松性股骨粗隆间骨折的治疗效果及预后。方法通过随访回顾性分析自2013年12月—2015年10月骨质疏松性股骨粗隆间骨折的89例患者的临床资料,按治疗方法不同分为InterTan组、DHS组和PFNA三组,其中InterTan组35人;DHS组12人;PFNA组42人。分析比较三组患者的手术时长、术中出血量、术后下床活动时间、功能恢复比较、并发症等。结果 DHS组手术时间较InterTan组和PFNA组长,术中出血量较InterTan组和PFNA组多,下床活动时间较InterTan组和PFNA组晚,差异有统计学意义(P<0.05)。DHS组低于InterTan组和PFNA组,差异有统计学意义(P<0.05),说明InterTan组和PFNA组在术后功能恢复上较DHS组好。结论 PFNA和Intertan钉手术时间短、术中出血量少、术后下床活动时间早、并发症少,适用于老年骨质疏松型股骨粗隆间骨折。
Objective To compare the efficacy of InterTan,DHS and PFNA in the treatment of osteoporotic femoral intertrochanteric fractures.Methods The clinical data of 89 patients with osteoporotic intertrochanteric fractures from December 2013 to October 2015 were retrospectively analyzed.The patients were divided into InterTan group,DHS group and PFNA group according to different treatment methods,35 in the InterTan group,12 in the DHS group and 42 in the PFNA group.The duration of operation,the volume of blood loss,the time of postoperative out of bed,the recovery of function,and the complications were analyzed and compared among the three groups.Results The operation time of DHS group was longer than that of InterTan group and PFNA group.Conclusion The time of PFNA and Intertan nail operation is less,the blood loss in operation is less,the time of getting out of bed after operation is less and the complication is less,which is suitable for intertrochanteric fracture of osteoporosis.
出处
《继续医学教育》
2017年第8期109-111,共3页
Continuing Medical Education
