PFNA与锁定钢板治疗股骨粗隆间骨折临床疗效的比较

发布时间：2018-03-26 12:04

本文选题：股骨粗隆间骨折　切入点：股骨近端防旋髓内钉　出处：《浙江中医药大学》2017年硕士论文

【摘要】：目的比较股骨近端防旋髓内钉(PFNA)与股骨近端锁定钢板(LPFP)治疗老年股骨粗隆间骨折的临床疗效。方法回顾性分析自2013-01—2015-11镇海区人民医院、富阳市中医骨伤科医院、绍兴市中医院诊治的106例股骨粗隆间骨折患者,选取相同年龄段、骨折分型、ASA分级、手术时机的股骨粗隆间骨折患者分为A、B两组,A组54例采用股骨近端防旋髓内钉内固定治疗,B组52例采用解剖型锁定钢板治疗,并且两组均采用损伤三期辩证施治,对两组手术时间、手术出血量、术后下地时间、术后髋关节功能Harris评分优良率、并发症发生率、骨折愈合时间及住院天数等进行统计学比较。结果两组术后均可获得较好的疗效,A组较B组在手术时间、术后下地时间、住院天数方面均明显缩短,手术出血量显著减少,术后15个月髋关节功能Harris评分优良率A组要优于B组,差异有明显统计学意义(P0.05);但两组在骨折愈合时间、术后并发症发生率等方面无明显统计学差异(P0.05))。结论PFNA与锁定钢板治疗股骨粗隆间骨折均可获得较好的疗效,但PFNA较锁定钢板手术创伤相对更小,功能恢复更快,在临床治疗上存在一定的优势性。
[Abstract]:Objective to compare the clinical effects of proximal femoral intramedullary nail (PFNA) and proximal femoral locking plate (LPFPFP) in the treatment of femoral intertrochanteric fractures in the elderly. Methods retrospective analysis was made from the people's Hospital of Zhenhai District, Fuyang City, from 2013-01-2015-11, Fuyang Hospital of Orthopedics and Trauma of traditional Chinese Medicine. 106 patients with intertrochanteric fracture of femur were treated in Shaoxing Chinese Medicine Hospital. The patients with intertrochanteric fracture of femur were divided into two groups: group A (n = 54) and group B (n = 52) treated with anatomic locking plate, and group A (n = 54) were treated with anatomic locking plate. The time of operation, the amount of blood loss, the time of landing, the excellent and good rate of Harris score of hip joint function, the incidence of complications were analyzed in the two groups. Results the curative effect of group A was significantly shorter than that of group B in terms of operation time, postoperative landing time and hospital stay, and the amount of operative bleeding was significantly decreased. 15 months after operation, the excellent and good rate of Harris score of hip joint function in group A was better than that in group B, and the difference was statistically significant (P 0.05). There was no significant difference in the incidence of postoperative complications (P 0.05). Conclusion both PFNA and locking plate are effective in the treatment of intertrochanteric fracture of femur, but PFNA has less trauma and faster recovery of function than that of locking plate in the treatment of intertrochanteric fracture of femur. There are some advantages in clinical treatment.
【学位授予单位】：浙江中医药大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R687.3

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