股骨转子下骨折采取股骨近端防旋髓内钉和动力髋螺钉治疗的疗效及安全性对比

杨丰

（周至联合医院，陕西 西安，710400）

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摘要：

目的 探讨股骨转子下骨折采用股骨近端防旋髓内钉（PFNA）治疗的疗效。方法 选取我院收治的72 例股骨转子下骨 折患者，将其随机分为对照组（n=36，采用动力髋螺钉治疗）与观察组（n=36，采用PFNA），观察两组患者的临床疗效。结果 治 疗后，观察组患者的优良率高于对照组（P<0.05）；观察组患者的切口长度、手术时间、术中出血量、骨折愈合时间均优于对照 组（P<0.05）。术后2 周、6 个月、1 年，两组患者的Harris 评分及Barthel 指数显著高于术前，且观察组Harris 评分显著高于对 照组（P<0.05）；术后6 个月、1 年，观察组患者Barthel 指数显著高于对照组（P<0.05）。观察组并发症总发生率低于对照组（P< 0.05）。结论 PFNA 治疗股骨转子下骨折，手术创伤小，疗效可靠，术后并发症少，是一种安全有效的方法，具有推广价值。

关键词：动力髋螺钉；PFNA；股骨转子下骨折

中图分类号：R687.3 文献标志码：A文章编号：2096-1413(2018)05-0070-02

Efficacy and safety of proximal femoral nail anti-rotation and dynamic hip screws in the treatment

of subtrochanteric fractures
YANG Feng
(Zhouzhi Union Hospital, Xi``an 710400, China)

ABSTRACT: Objective To investigate the effect of proximal femoral nail anti-rotation (PFNA) in the treatment of subtrochanteric fracture. Methods A total of 72 patients with subtrochanteric fractures admitted in our hospital were randomly divided into control group (n=36, treated with dynamic hip screw) and observation group (n=36, treated with PFNA). The curative effects of the two groups were observed. Results After treatment, the excellent and good rate of the observation group was higher than that of the control group (P<0.05). The incision length, operation time, intraoperative blood loss and fracture healing time in the observation group were better than those in the control group (P<0.05). At 2 weeks, 6 months and 1 year after surgury, the Harris scores and Barthel indexes of the two groups were significantly higher than those before surgury, and the Harris scores of the observation group were higher than those of the control group (P<0.05). At 6 months and 1 year after surgery, the Barthel indexes of the observation group were higher than those of the control group (P<0.05). The total incidence of complications in the observation group was lower than that in the control group (P<0.05). Conclusion PFNA in the treatment of subtrochanteric fracture has small surgical trauma, remarkable effect and less complication, which is a safe and effective method, with promotional value.
KEYWORDS: dynamic hip screws; PFNA; subtrochanteric fractures

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