PFNA与Gamma钉治疗不稳定股骨粗隆间骨折的早期疗效评价(1)
摘 要：目的 评价PFNA与Gamma钉治疗不稳定股骨粗隆间骨折的早期疗效。方法 回顾分析2017年2月～2018年2月在我院治疗的80例不稳定股骨粗隆间骨折患者临床资料，随机分为观察组和对照组，各40例。对照组采用Gamma钉治疗，观察组采用PFNA治疗，对比两组临床早期疗效、关节功能恢复情况以及并发症。结果 观察组早期总优良率95.00%，高于对照组72.00%，差异有统计学意义(P<0.05)；观察组手术出血量少于对照组，手术时间短于对照组，差异有统计学意义(P<0.05)；观察组骨折愈合时间与对照组对比，差异无统计学意义(P>0.05)；觀察组并发症发生率低于对照组，差异有统计学意义(P<0.05)。结论 PFNA治疗不稳定股骨粗隆间骨折疗效理想，出血量，时间短，固定牢固，是一种理想的治疗方法。
关键词：Gamma钉；股骨粗隆间骨折；早期疗效
中图分类号：R683.4 文献标识码：A DOI：10.3969/j.issn.1006-1959.2018.14.030
, http://www.100md.com
文章编号：1006-1959(2018)14-0104-03
Abstract：Objective To evaluate the early efficacy of PFNA and Gamma nail in the treatment of unstable intertrochanteric fracture of femur.Methods The clinical data of 80 patients with unstable intertrochanteric fractures treated in our hospital from February 2017 to February 2018 were retrospectively analyzed.The patients were randomly divided into observation group and control group with 40 cases in each.The control group was treated with Gamma nail and the observation group was treated with PFNA.The clinical efficacy， joint function recovery and complications were compared between the two groups.Results The total excellent and good rate in the observation group was 95.00%，which was higher than that in the control group 72.00%，the difference was statistically significant(P< 0.05)，and the amount of operative bleeding in the observation group was less than that in the control group，the difference was statistically significant(P<0.05)，the fracture healing time of the observation group was no significant difference compared with the control group(P>0.05)，and the incidence of complications in the observation group was lower than that of the control group，with a statistically significant difference(P<0.05).Conclusion PFNA is an ideal treatment for unstable intertrochanteric fractures with unstable blood volume，short time and firm fixation.
, 百拇医药
Key words：Gamma nail；Intertrochanteric fracture of femur；Early curative effect
股骨粗隆间骨折(Intertrochanteric fracture of femur)是指发生于髋关节囊线以外至小转子下方区域内的骨折，是骨科常见疾病，该类骨折多发生于老年人[1]。临床治疗股骨粗隆间骨折应及时有效，不然会严重影响患者肢体功能恢复，进一步影响患者的预后效果。为了使患者早期下床进行锻炼，促进肢体功能的恢复，手术内固定的应用越来越广泛，也已经成为治疗的首选方法。选择合适的内固定方法，减少对患者骨折血供损伤，实现了牢固固定，降低骨折延迟愈合发生率的目的成为我们迫切需要解决的问题。而临床治疗不稳定股骨粗隆间骨折，在选择内固定方法上存在争议。本文作者结合2017年2月～2018年2月在我院治疗的80例不稳定股骨粗隆间骨折患者临床资料，评价PFNA(新型股骨近端髓内钉)与Gamma钉治疗方法的的早期疗效，现报告如下。
, 百拇医药
1资料与方法
1.1一般资料 回顾分析2017年2月～2018年2月在北京市中医医院怀柔医院治疗的80例不稳定股骨粗隆间骨折患者临床资料，本研究经过医院伦理委员会批准。纳入标准：①均符合中国医学会制定的《股骨粗隆间骨折诊断标准》[2]；②所有患者均经X线检查确诊；③患者自愿参加本研究，并签署知情同意书。排除标准：①合并心、肝、肾等严重疾病者；②意识模糊的患者；③精神、智力障碍，语言表达障碍者。依据手术方式分为观察组和对照组各40例。对照组男性23例，女性17例；年龄60～81岁，平均年龄(72.10±9.33)岁；A1型26例，A2型12例，A3型2例。观察组男性21例，女性19例；年龄62～80岁，平均年龄(72.89±10.11)岁；A1型25例，A2型14例，A3型1例。两组患者在分型、年龄等基础资料方面，差异无统计学意义(P>0.05)。, 百拇医药(吕东升 陶杰 朱先龙 王轶)
关键词：Gamma钉；股骨粗隆间骨折；早期疗效
中图分类号：R683.4 文献标识码：A DOI：10.3969/j.issn.1006-1959.2018.14.030
, http://www.100md.com
文章编号：1006-1959(2018)14-0104-03
Abstract：Objective To evaluate the early efficacy of PFNA and Gamma nail in the treatment of unstable intertrochanteric fracture of femur.Methods The clinical data of 80 patients with unstable intertrochanteric fractures treated in our hospital from February 2017 to February 2018 were retrospectively analyzed.The patients were randomly divided into observation group and control group with 40 cases in each.The control group was treated with Gamma nail and the observation group was treated with PFNA.The clinical efficacy， joint function recovery and complications were compared between the two groups.Results The total excellent and good rate in the observation group was 95.00%，which was higher than that in the control group 72.00%，the difference was statistically significant(P< 0.05)，and the amount of operative bleeding in the observation group was less than that in the control group，the difference was statistically significant(P<0.05)，the fracture healing time of the observation group was no significant difference compared with the control group(P>0.05)，and the incidence of complications in the observation group was lower than that of the control group，with a statistically significant difference(P<0.05).Conclusion PFNA is an ideal treatment for unstable intertrochanteric fractures with unstable blood volume，short time and firm fixation.
, 百拇医药
Key words：Gamma nail；Intertrochanteric fracture of femur；Early curative effect
股骨粗隆间骨折(Intertrochanteric fracture of femur)是指发生于髋关节囊线以外至小转子下方区域内的骨折，是骨科常见疾病，该类骨折多发生于老年人[1]。临床治疗股骨粗隆间骨折应及时有效，不然会严重影响患者肢体功能恢复，进一步影响患者的预后效果。为了使患者早期下床进行锻炼，促进肢体功能的恢复，手术内固定的应用越来越广泛，也已经成为治疗的首选方法。选择合适的内固定方法，减少对患者骨折血供损伤，实现了牢固固定，降低骨折延迟愈合发生率的目的成为我们迫切需要解决的问题。而临床治疗不稳定股骨粗隆间骨折，在选择内固定方法上存在争议。本文作者结合2017年2月～2018年2月在我院治疗的80例不稳定股骨粗隆间骨折患者临床资料，评价PFNA(新型股骨近端髓内钉)与Gamma钉治疗方法的的早期疗效，现报告如下。
, 百拇医药
1资料与方法
1.1一般资料 回顾分析2017年2月～2018年2月在北京市中医医院怀柔医院治疗的80例不稳定股骨粗隆间骨折患者临床资料，本研究经过医院伦理委员会批准。纳入标准：①均符合中国医学会制定的《股骨粗隆间骨折诊断标准》[2]；②所有患者均经X线检查确诊；③患者自愿参加本研究，并签署知情同意书。排除标准：①合并心、肝、肾等严重疾病者；②意识模糊的患者；③精神、智力障碍，语言表达障碍者。依据手术方式分为观察组和对照组各40例。对照组男性23例，女性17例；年龄60～81岁，平均年龄(72.10±9.33)岁；A1型26例，A2型12例，A3型2例。观察组男性21例，女性19例；年龄62～80岁，平均年龄(72.89±10.11)岁；A1型25例，A2型14例，A3型1例。两组患者在分型、年龄等基础资料方面，差异无统计学意义(P>0.05)。, 百拇医药(吕东升 陶杰 朱先龙 王轶)