两种不同内固定方式治疗老年不稳定型股骨粗隆间骨折的效果对比(1)
【摘要】 目的：比較股骨近端外侧锁钉钢板辅助前侧短重建钢板和股骨近端防旋髓内钉(PFNA)治疗老年不稳定型股骨粗隆间骨折的临床效果。方法：选取2016年1月-2018年1月笔者所在医院不稳定型股骨粗隆间骨折老年患者60例，按照随机数字表法将其分为对照组(n=30)与观察组(n=30)。对照组采用股骨近端外侧锁钉钢板辅助前侧短重建钢板内固定术，观察组采用PFNA术。术后随访1年，比较两组手术切口长度、手术时间、术中出血量、术后引流量、数字疼痛评分法(NRS)评分、Harris评分及术后并发症发生情况。结果：观察组患者手术切口长度、手术时间、术中出血量、术后引流量均优于对照组，差异有统计学意义(P<0.05)。观察组患者术后3、7 d NRS评分均低于对照组，差异有统计学意义(P<0.05)。术后1年，观察组患者各项Harris评分均高于对照组，差异有统计学意义(P<0.05)。观察组术后并发症发生率低于对照组，差异有统计学意义(P<0.05)。结论：FFNA治疗老年不稳定型股骨粗隆间骨折可缩短手术时间、减轻术后疼痛、促进髋关节功能恢复，减少术后并发症的发生。
【关键词】 PFNA 老年 不稳定型股骨粗隆间骨折 临床疗效
doi：10.14033/j.cnki.cfmr.2020.03.062 文献标识码 B 文章编号 1674-6805(2020)03-0-03
[Abstract] Objective： To compare the clinical effects of proximal lateral femoral locking nail plate assisted with anterior short reconstruction plate and proximal femoral anti-rotation intramedullary nail (PFNA) in the treatment of unstable intertrochanteric fracture of Femur in the elderly. Method： A total of 60 elderly patients with unstable intertrochanteric fracture of femur in our hospital from January 2016 to January 2018 were selected and divided into the control group (n=30) and the observation group (n=30) according to the random number table method. The control group was given proximal lateral femoral locking nail plate assisted with anterior short reconstruction plate internal fixation， and the observation group was treated with PFNA. After 1 year follow-up， and the incision length， operation time， intraoperative bleeding volume， postoperative drainage volume， digital pain score (NRS)， Harris score and postoperative complications in the two groups were compared. Result： The incision length， operation time， intraoperative bleeding volume and postoperative drainage volume of the observation group were better than those of the control group， the differences were statistically significant (P<0.05). The NRS score of the observation group was lower than that of the control group on 3 and 7 d after operation， the difference was statistically significant (P<0.05). One year after the operation， the Harris score of the observation group was higher than that of the control group， the difference was statistically significant (P<0.05). The incidence of postoperative complications in the observation group was lower than that in the control group， the difference was statistically significant (P<0.05). Conclusion： FFNA treatment of unstable intertrochanteric fracture of femur in the elderly can shorten the operation time， reduce postoperative pain， promote hip function recovery and reduce postoperative complications., 百拇医药(刘煜华 陈福江)
【关键词】 PFNA 老年 不稳定型股骨粗隆间骨折 临床疗效
doi：10.14033/j.cnki.cfmr.2020.03.062 文献标识码 B 文章编号 1674-6805(2020)03-0-03
[Abstract] Objective： To compare the clinical effects of proximal lateral femoral locking nail plate assisted with anterior short reconstruction plate and proximal femoral anti-rotation intramedullary nail (PFNA) in the treatment of unstable intertrochanteric fracture of Femur in the elderly. Method： A total of 60 elderly patients with unstable intertrochanteric fracture of femur in our hospital from January 2016 to January 2018 were selected and divided into the control group (n=30) and the observation group (n=30) according to the random number table method. The control group was given proximal lateral femoral locking nail plate assisted with anterior short reconstruction plate internal fixation， and the observation group was treated with PFNA. After 1 year follow-up， and the incision length， operation time， intraoperative bleeding volume， postoperative drainage volume， digital pain score (NRS)， Harris score and postoperative complications in the two groups were compared. Result： The incision length， operation time， intraoperative bleeding volume and postoperative drainage volume of the observation group were better than those of the control group， the differences were statistically significant (P<0.05). The NRS score of the observation group was lower than that of the control group on 3 and 7 d after operation， the difference was statistically significant (P<0.05). One year after the operation， the Harris score of the observation group was higher than that of the control group， the difference was statistically significant (P<0.05). The incidence of postoperative complications in the observation group was lower than that in the control group， the difference was statistically significant (P<0.05). Conclusion： FFNA treatment of unstable intertrochanteric fracture of femur in the elderly can shorten the operation time， reduce postoperative pain， promote hip function recovery and reduce postoperative complications., 百拇医药(刘煜华 陈福江)
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