手术治疗股骨转子间骨折并骨质疏松的临床效果评价(1)
【摘要】 目的：评价手术治疗股骨转子间骨折并骨质疏松的临床效果。方法：选取2014年1月-2016年
10月本院收治的80例股骨转子间骨折并骨质疏松患者作为研究对象，根据随机数字表法分为对照组与观察组，各40例。对照组采用动力髋部螺纹钉(DHS)治疗，观察组采用螺旋刀片型股骨近端髓内钉(PFNA)治疗，对比两组患者手术时间、术中出血量、骨折愈合时间及Harris功能评分情况。结果：观察组手术时间短于对照组，差异有统计学意义(P<0.05)；观察组术中出血量少于对照组，差异有统计学意义(P<0.05)；两组的骨折愈合时间和Harris功能评分比较，差异均无统计学意义(P>0.05)。结论：应用螺旋刀片型股骨近端髓内钉治疗股骨转子间骨折并骨质疏松，对患者造成的创伤较少，可以缩短手术时间，减少术中出血量，治疗安全可靠，值得推广应用。
【关键词】 股骨转子间骨折； 骨质疏松； 手术治疗； 临床疗效
Evaluation of Clinical Effect of Surgical Treatment of Femoral Intertrochanteric Fracture and Osteoporosis/SHI Peng-xu，LI Yue-ting，HUA Kai，et al.//Medical Innovation of China，2017，14(09)：118-121
【Abstract】 Objective：To evaluate the clinical effect of surgical treatment of intertrochanteric fractures with osteoporosis.Method：A total of 80 cases with intertrochanteric fractures and osteoporosis in our hospital from January 2014 to October 2016 were selected as the research objects，they were divided into the control group and the observation group according to random number table method，40 cases in each group.The control group was treated with dynamic hip screw(DHS)，the observation group was treated with screw blade type proximal femoral nail(PFNA).The operative time，blood loss，fracture healing time and Harris functional score of the two groups were compared.Result：The operation time of the observation group was shorter than that of control group，the difference was statistically significant(P<0.05)；the blood loss of the observation group was less than that of control group，the difference was statistically significant(P<0.05)；there were no significant differences in fracture healing time and Harris scores between the two groups(P>0.05).Conclusion：Application of spiral blade proximal femoral intramedullary nail in treatment of intertrochanteric fracture and osteoporosis，the patients caused by trauma less，can shorten the operation time， reduce the amount of bleeding，the treatment is safe and reliable，it is worthy of popularization and application.
【Key words】 Intertrochanteric fracture； Osteoporosis； Surgical treatment； Clinical curative effect
First-author’s address：The People’s Hospital of Liaoning Province，Shenyang 110000，China
doi：10.3969/j.issn.1674-4985.2017.09.034
我国老龄化的加剧，导致骨质疏松患者逐年增加，直接或间接暴力引起的股骨转子间骨折为低能量暴力导致，因此老年骨质疏松人群，极易发生股骨转子间骨折[1]。研究认为，对可耐受手术的患者及早实施手术治疗，可以促进患者及早开展功能锻炼，从而减少死亡率[2]。股骨轉子间骨折也需要选择手术创伤小的手术方式[3]，本研究观察组应用螺旋刀片型股骨近端髓内钉(PFNA)疗效较好，现报道如下。
1 资料与方法
1.1 一般资料 选取2014年1月-2016年10月本院收治的80例股骨转子间骨折并骨质疏松患者作为研究对象，根据随机数字表法分为对照组与观察组，各40例。对照组：男22例，女18例，年龄50～80岁，平均(70.2±2.2)岁；骨质疏松根据Sings分级：8例Ⅰ级，15例Ⅱ级，17例Ⅲ级。观察组：男23例，女17例，年龄51～80岁，平均(71.3±2.1)岁；骨质疏松根据Sings分级：7例Ⅰ级，18例Ⅱ级，15例Ⅲ级。两组患者的一般资料比较，差异无统计学意义(P>0.05)，具有可比性。, 百拇医药(施鹏旭 李玥婷 华凯 路宝民 郭庆升)
10月本院收治的80例股骨转子间骨折并骨质疏松患者作为研究对象，根据随机数字表法分为对照组与观察组，各40例。对照组采用动力髋部螺纹钉(DHS)治疗，观察组采用螺旋刀片型股骨近端髓内钉(PFNA)治疗，对比两组患者手术时间、术中出血量、骨折愈合时间及Harris功能评分情况。结果：观察组手术时间短于对照组，差异有统计学意义(P<0.05)；观察组术中出血量少于对照组，差异有统计学意义(P<0.05)；两组的骨折愈合时间和Harris功能评分比较，差异均无统计学意义(P>0.05)。结论：应用螺旋刀片型股骨近端髓内钉治疗股骨转子间骨折并骨质疏松，对患者造成的创伤较少，可以缩短手术时间，减少术中出血量，治疗安全可靠，值得推广应用。
【关键词】 股骨转子间骨折； 骨质疏松； 手术治疗； 临床疗效
Evaluation of Clinical Effect of Surgical Treatment of Femoral Intertrochanteric Fracture and Osteoporosis/SHI Peng-xu，LI Yue-ting，HUA Kai，et al.//Medical Innovation of China，2017，14(09)：118-121
【Abstract】 Objective：To evaluate the clinical effect of surgical treatment of intertrochanteric fractures with osteoporosis.Method：A total of 80 cases with intertrochanteric fractures and osteoporosis in our hospital from January 2014 to October 2016 were selected as the research objects，they were divided into the control group and the observation group according to random number table method，40 cases in each group.The control group was treated with dynamic hip screw(DHS)，the observation group was treated with screw blade type proximal femoral nail(PFNA).The operative time，blood loss，fracture healing time and Harris functional score of the two groups were compared.Result：The operation time of the observation group was shorter than that of control group，the difference was statistically significant(P<0.05)；the blood loss of the observation group was less than that of control group，the difference was statistically significant(P<0.05)；there were no significant differences in fracture healing time and Harris scores between the two groups(P>0.05).Conclusion：Application of spiral blade proximal femoral intramedullary nail in treatment of intertrochanteric fracture and osteoporosis，the patients caused by trauma less，can shorten the operation time， reduce the amount of bleeding，the treatment is safe and reliable，it is worthy of popularization and application.
【Key words】 Intertrochanteric fracture； Osteoporosis； Surgical treatment； Clinical curative effect
First-author’s address：The People’s Hospital of Liaoning Province，Shenyang 110000，China
doi：10.3969/j.issn.1674-4985.2017.09.034
我国老龄化的加剧，导致骨质疏松患者逐年增加，直接或间接暴力引起的股骨转子间骨折为低能量暴力导致，因此老年骨质疏松人群，极易发生股骨转子间骨折[1]。研究认为，对可耐受手术的患者及早实施手术治疗，可以促进患者及早开展功能锻炼，从而减少死亡率[2]。股骨轉子间骨折也需要选择手术创伤小的手术方式[3]，本研究观察组应用螺旋刀片型股骨近端髓内钉(PFNA)疗效较好，现报道如下。
1 资料与方法
1.1 一般资料 选取2014年1月-2016年10月本院收治的80例股骨转子间骨折并骨质疏松患者作为研究对象，根据随机数字表法分为对照组与观察组，各40例。对照组：男22例，女18例，年龄50～80岁，平均(70.2±2.2)岁；骨质疏松根据Sings分级：8例Ⅰ级，15例Ⅱ级，17例Ⅲ级。观察组：男23例，女17例，年龄51～80岁，平均(71.3±2.1)岁；骨质疏松根据Sings分级：7例Ⅰ级，18例Ⅱ级，15例Ⅲ级。两组患者的一般资料比较，差异无统计学意义(P>0.05)，具有可比性。, 百拇医药(施鹏旭 李玥婷 华凯 路宝民 郭庆升)