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ID:32834864
大小:373.65 KB
页数:33页
时间:2019-02-16
《pfna和dhs治疗老年人股骨粗隆间骨折的临床疗效观察》由会员上传分享,免费在线阅读,更多相关内容在学术论文-天天文库。
1、提要目的:通过对PFNA和DHS在老年人股骨粗隆间骨折临床应用效果的观察,对两种内固定方法的临床疗效进行对比,总结两种内固定方法各自的特点,为临床治疗老年股骨粗隆间骨折采用合理的手术方法提供依据。方法:收集山东中医药大学附属医院骨科自2010年4月至2011年12月间住院治疗的符合纳入标准的老年股骨粗隆间骨折患者病例。采用PFNA治疗者22例,采用DHS治疗的患者18例,经治疗全部达到骨折临床愈合标准。对两组患者的治疗过程和疗效进行观察,并作统计学分析,对两种方法的疗效做出分析评价。结果:PFNA和DHS相比在手术时间、手术切口长度、术中出血量、骨折愈合时间等比较方
2、面P<0.05有统计学意义,在住院时间比较方面P>0.05无统计学意义。髋关节创伤后Sander’s评分DHS组优良率为83%,PFNA组优良率为91%。结论:PFNA和DHS在治疗老年股骨粗隆间骨折方面均有良好效果;PFNA组与DHS组相比具有微创化,髋关节功能恢复程度方面具有优势;PFNA适应症广是治疗老年人股骨粗隆间骨折较为理想的内固定选择。关键词老年股骨粗隆间骨折;PFNA;DHS;疗效观察ClinicalEfficacyofPFNAandDHSinElderlypatientswithIntertrochantericFracturesSpecialty:
3、OrthopedicsofTCMAuthor:ZhuHaitaoTutor:ProfQishangFengAbstractObjective:Toobservetheclinicaleffectofanti-rotationofproximalfemoralnail(PFNA)andthedynamichipscrew(DHS)inelderlyintertrochantericfracture,theclinicalefficacyofthetwokindsofinternalfixationmethodswerecompared,summeduptherespe
4、ctivecharacteristicsofthetwokindsofinternalfixationmethodsprovidethebasisfortheclinicaltreatmentofsenilefemoralintertrochantericfracturesurgery.Methods:Orthopaedics,AffiliatedHospitalofShandongUniversityofTraditionalChineseMedicinetomeettheinclusioncriteriaforpatientswithintertrochante
5、ricfracturecaseshospitalizedsinceApril2010toDecember2011.ThePFNAtreatmentof22cases,DHStreatmentof18patients,standardtreatmentoffracturehealing.Observethetreatmentprocessandefficacyofthetwogroupsofpatients,andforstatisticalanalysis,tomakeanalysisandevaluationoftheefficacyoftwomethods.Re
6、sults:thePFNAandDHScomparedtheoperativetime,incisionlength,bloodloss,fracturehealingtime,andotheraspectsofP<0.05wasstatisticallysignificant,intermsofhospitalstay,P>0.05notstatisticallysignificant.Sander,'sscoreDHSgroupinhiptraumaexcellentrateof83%,PFNAgrouprateof91%.Conclusion:PFNAandD
7、HSinthetreatmentofelderlyintertrochantericfractureshavegoodresults;PFNAgroupandDHSgroupcomparedwiththeminimallyinvasivehipfunctionalrecoveryofthedegreehasadvantages;PFNAindicationsarewidelyelderlypatientswithintertrochantericintercondylarfractureoftheidealinternalfixation.Keywords:in
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