| 任飞 王福平 杜向东 李涛 陈斌 王伟卓.动力髋螺钉与股骨近端髓内钉治疗老年股骨近端骨折的临床疗效比较[J].,2016,16(25):4932-4934 |
| 动力髋螺钉与股骨近端髓内钉治疗老年股骨近端骨折的临床疗效比较 |
| Comparative Analysis of Dynamic Hip Screw and Proximal Femoral Nail inthe Treatment of Elderly Patients with Proximal Femoral Fractures |
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| DOI： |
| 中文关键词: 动力髋螺钉 股骨近端髓内钉 股骨近端骨折 临床疗效 |
| 英文关键词: Dynamic hip screw Proximal femoral nail Proximal femoral fractures Clinical effect |
| 基金项目:陕西省自然科学基金项目(2008K14-01) |
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| 中文摘要: |
| 目的：比较动力髋螺钉与股骨近端髓内钉治疗老年股骨近端骨折的临床疗效和安全性。方法：收集我院收治的老年股骨近
端骨折患者64 例，随机分为DHS 组和PFN 组，每组各32 例。DHS 组患者给予动力髋螺钉的固定方式，PFN 组给予股骨近端髓
内钉的固定方式。手术后对患者的手术切口长度、术中出血量、手术时间、骨折愈合时间、术后并发症以及患者临床疗效进行检测
并比较。结果：与治疗前相比，两组患者治疗后的Harris 评分均显著下降(P<0.05)；与DHS 组相比，PFN 组患者的手术切口长度、
术中出血量、手术时间、骨折愈合时间、术后并发症的发生率以及Harris 评分均较低(P<0.05)。结论：股骨近端髓内钉的固定治疗
老年股骨近端骨折的临床疗效较好，安全性更高。 |
| 英文摘要: |
| Objective:To compare the clinical effect and safety of dynamic hip screw and proximal femoral nail in the treatment
of elderly patients with proximal femoral fractures.Methods:64 cases of elderly patients with proximal femoral fractures in our hospital
were selected and randomly divided into the DHS group and PFN group, with 32 cases in each group. Group DHS was given dynamic hip
screw fixation, PFN group was given proximal femoral intramedullary nail fixation. The postoperative incision length, intraoperative
blood loss, operation time, fracture healing time, incidence of postoperative complications and clinical efficacy of both groups were detected
and compared.Results:Compared with before treatment, the Harris hip scores of both groups were decreased (P < 0.05); Compared
with group DHS, the length of incision, intraoperative bleeding volume, operation time, fracture healing time, incidence of postoperative
complications and Harris scores were lower in the PFN group(P<0.05).Conclusion:Proximal femoral intramedullary nail fixation
method had higher efficacy and safety in the treatment of elderly patients with proximal femoral fractures than dynamic hip screw. |
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