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1、锁定钢板和PFNA治疗股骨粗隆间骨折的比较分析张子斌(四川省彭州市中医医院四川彭州611900)【摘要】目的:探究锁定钢板和PFNA治疗股骨粗隆间骨折的疗效。方法:选取我院骨科自2013年9月至2015年4月收治的126例股骨粗隆间骨折的患者作为研究对象,将其按照入院顺序随机的、平均将其分为观察组和对照组两组,观察组采用PFNA治疗股骨粗隆间骨折,对照组采用锁定钢板的方法进行治疗,对比两组患者治疗中及治疗后的相关事项结果。结果:观察组优良率为96.83%(61/63),对照组的优良率为82.54%(52/63),两者相比,前者占显著优势,P<0.05;观察组患者的手术时间、术中出血
2、量分别与对照组相比,占显著优势,具有统计学意义,p<0.01,两组骨折愈合时间无统计学差异,P>0.05;两组患者骨折均全部愈合,其中观察组出现競内翻2例,无其他并发症,对照组患者出现覩内翻4例,无其他并发症击现。两组患者出现的并发症不具有统计学意义,P>;0.05o结论:PFNA治疗股骨粗隆间骨折疗效显著,具有术中出血量少、手术时间短,并发症少等优势,有必要在临床上广泛推广应用。【关键词】PFNA;锁定钢板;股骨粗隆间骨折;治疗疗效【中图分类号】R683【文献标识码】B【文章编号】1003-5028(2015)7-0104-02Compareandanalyzethee
3、ffectoflockingplateandPFNAontreatingintertrochantericfracture[Abstract]objective:toexplorethelockingplateandPFNAcurativeeffectforthetreatmentofintertrochantericfracture.Selectionmethods:ourhospitalorthopedicfromSeptember2013toApril2015,126patientswithintertrochantericfracturesastheresearchobject,
4、therandom,averageinhospitalorderwillbedividedintoobservationgroupandcontrolgroupinthetwogroups,theobservationgroupwastreatedwithPFNAintertrochantericfractures,andthecontrolgrouptreatedwiththemethodoflockingplate,comparedtwogroupsofpatientsandtherelatedissuesofresultsaftertreatment.Results:theobse
5、rvationgroupwas96.83%(61/63),thecontrolgroupwas82.54%(52/63),both,comparedtotheformeraccountsforasign讦icantadvantage,P<0.05;Observationgroupofpatientswithoperationtime,intraoperativebloodlosscomparedwiththecontrolgroup,respectivelyaccountedforasignificantadvantage,statisticallysignificant,p<
6、;0.01,thefracturehealingtimedifferenee,thetwogroups(p>0.05;Allfractureswerehealedinbothgroups,theobservationgroupinhipvarusin2cases,noothercomplications,4casesofthecontrolgroupofpatientswithhipvarus,noothercomplications.Twogroupsofpatientswithcomplicationsisnotstatisticallysigrdficant,P>0.0
7、5).Conclusion:PFNAintertrochantericfractureswithobvioustherapeuticeffect,arelessintraoperativebloodloss,shorteroperationtime,lesscomplicationsadvantages,itisnecessarytowidelyappliedinclinic.【keywords]PFNA.Lockingplate.