InterTan髓内钉、PFNA内固定术治疗老年不稳定型股骨粗隆间骨折围手术期失血量对比观察

发布时间：2018-08-27 10:59

【摘要】：目的比较InterTan髓内钉和股骨近端抗旋髓内钉(PFNA)内固定治疗老年不稳定型股骨粗隆间骨折围术期失血量。方法 96例老年不稳定型股骨粗隆间骨折患者随机分为两组各48例,InterTan组采取InterTan髓内钉内固定,PFNA组采取PFNA内固定,比较两组总失血量、术中失血量、隐性失血量、显性失血量。结果 InterTan组术中失血量(179±56.5)mL、显性失血量(340.5±86.8)mL、隐性失血量(490.7±93.1)mL、总失血量(831.2±132.8)mL,PFNA组分别为(133±39.3)、(251.8±67.5)、(463.3±88.5)、(715.1±108.8)mL,两组术中失血量、显性失血量、总失血量比较,P均0.05。结论与PFNA内固定比较,InterTan髓内钉内固定治疗此类患者术中失血量、显性失血量、总失血量多;两种内固定方式的隐性失血量虽无明显差异,但隐性失血量在总失血量中占有较大比重,临床上要引起重视,并采取有效措施。
[Abstract]:Objective to compare the perioperative blood loss with InterTan intramedullary nail (InterTan) and proximal femoral anti-circumflex intramedullary nail (PFNA) in the treatment of unstable intertrochanteric fractures in the elderly. Methods 96 elderly patients with unstable femoral intertrochanteric fracture were randomly divided into two groups, 48 patients in each group were treated with InterTan intramedullary nail fixation and PFNA internal fixation. The total blood loss, intraoperative blood loss, recessive blood loss and dominant blood loss were compared between the two groups. Results the intraoperative blood loss (179 卤56.5) mL, dominant loss (340.5 卤86.8) mL, recessive blood loss (490.7 卤93.1) mL, total blood loss in InterTan group (831.2 卤132.8) mL,PFNA group was (133 卤39.3), (251.8 卤67.5), (463.3 卤88.5), (715.1 卤108.8 mL, intraoperative blood loss. Conclusion compared with PFNA internal fixation, InterTan intramedullary nail internal fixation has no significant difference in the amount of blood loss during the operation, the dominant amount of blood loss and the total amount of blood loss, although there is no significant difference between the two internal fixation methods in the amount of recessive blood loss, there is no significant difference between the two internal fixation methods. However, recessive blood loss accounts for a large proportion of the total blood loss, so it should be paid more attention in clinic and effective measures should be taken.
【作者单位】：宝鸡市中医医院;宝鸡市高级职业技术学院;中国人民解放军第四军医大学第一附属医院;中国人民解放军451医院;
【分类号】：R687.3

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