pfna和dhs治疗老年人不稳定型股骨粗隆间骨折临床对比分析

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1、分类号：学号：T2015136泰山医学院硕士学位论文论文题目：PFNA和DHS治疗老年人不稳定型股骨粗隆间骨折临床对比研究作者姓名：夏广兴学科、专业：外科学学位类型：科学学位型研究方向：骨外科学指导教师：张开刚教授入学时间：2012年9月论文工作起止时间：2014年3月~2015年4月万方数据目录中文摘要·············································································································1英文摘要························

2、·····················································································3前言·················································································································6临床研究·····················································································

3、························9结果···············································································································16讨论···············································································································18结论··································

4、·············································································35参考文献···········································································································36综述·································································································

5、··············39附录···············································································································46致谢···············································································································48攻读学位期间发表的学术论文································

6、······································49原创性声明·······································································································50万方数据泰山医学院硕士学位论文PFNA和DHS治疗老年人不稳定型股骨粗隆间骨折临床对比研究研究生：夏广兴专业：骨外科导师：张开刚教授中文摘要目的我院开展PFNA手术治疗股骨粗隆间骨折已经近3年，研究并分析应用带螺旋刀片股骨近端防旋髓内钉治疗老年粗隆间骨折，是否比以往我院常用的动力髋

7、螺钉更有优势，以便以后临床工作中，能参考选择更加适合此类病人的内固定方式。方法针对泰安市第一人民医院骨科自2012年9月到2014年9月期间收治的46例老年股骨粗隆间骨折病例，随访6～18个月，采用带螺旋刀片股骨近端防旋髓内钉和动力髋螺钉两种内固定方法进行治疗，其中25例使用带螺旋刀片股骨近端防旋髓内钉，21例使用动力髋螺钉，两组都收集了所有病例的手术切口长度、术中操作时间、出血量多少、术后拄双拐下地活动的时间、骨折临床愈合时间、术后功能恢复程度，分别从这6个方面进行比较，得出最后结论。结果带螺旋刀片股