| 隋天棋 袁志 段春光 李岩 郝旭光 强毅.Fixion PF和PFN治疗老年骨质疏松股骨转子间骨折的临床效果比较[J].,2015,15(22):4287-4290 |
| Fixion PF和PFN治疗老年骨质疏松股骨转子间骨折的临床效果比较 |
| The Comparation of Curing Osteoporotic Intertrochanteric Fractureby Fixion PF and PFN |
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| DOI： |
| 中文关键词: 老年骨质疏松 可膨胀髓内钉 股骨转子间骨折 |
| 英文关键词: Senile Osteoporotic Expandable intramedullary nail Intertrochanteric fracture |
| 基金项目:国家高技术研究发展计划项目(2012AA020502-6) |
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| 中文摘要: |
| 目的：比较可膨胀髓内钉(Fixion PF)与股骨近端髓内钉(PFN)联合双磷酸盐治疗老年骨质疏松股骨转子周围骨折临床效果及
安全性。方法：选择我院收治的47 例老年骨质疏松股骨转子间骨折患者并将其随机分为两组：对照组应用PFN 治疗，观察组应用
Fixion PF治疗，术后两组患者均接受双磷酸盐抗骨质疏松治疗，比较两组的Harris 评分、骨折愈合时间、手术时间、术中出血、切
口长度、术后严重并发症的发生情况。结果：两组的Harris评分、骨折平均愈合时间以及严重并发症的发生率比较均无统计学差异
(P 均>0.05)，但Fixion PF组的手术时间较PFN 组显著缩短，术中出血明显减少，切口长度显著下降，差异均有统计学意义(P<0.
05)。结论：Fixion PF联合双磷酸盐抗骨质疏松治疗对老年骨质疏松股骨转子间骨折的临床效果优于PFN 联合双磷酸盐抗骨质疏
松治疗。 |
| 英文摘要: |
| Objective:To compare the effects and safety of Fixion PF and PFN in the treatment of osteoporotic intertrochanteric
fractures.Methods:From Marth 2013 to May 2014, forty-seven patients with intertrochanteric fractures were randomly divided into the
observation group and the control group and followed up for one year. They were given anti-osteoporosis therapy after the surgery.
According to Evans classification, there were 4 cases of type I fracture, 5 cases of type II fracture,9 of type III fracture, 5 of type IV
fracture in the control group, there were 3 cases of type I fracture, 7 cases of type II fracture, 6 of type III fracture, 8 of type IV fracture in
the observation group. The patients of control group were treated with PFN, the patients of observation group were treated with Fixion
PF. The harris score after operation and the surgery-related data were recorded and compared between two groups.Results:The mean
operating time of control group was 87.6± 25 min and the mean blood loss was 180± 30 mL. The mean operating time of observation
group was 69.5± 15 min and the mean blood loss was 117± 20 mL. There was no significant difference between two groups in the
Harris score, healing time, incidence of surgical complications (P>0.05). The operation time, surgical bleeding , length of incision of
observation group were better than those of the control group (P＜0.05).Conclusion:Fixion PF combined with anti-osteoporosis therapy
by bisphosphonates had advantages of less bleeding and shorter operation time in the treatment of osteoporotic intertrochanteric fractures
than PFN combined with bisphosphonates. |
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