pfna治疗老年股骨粗隆间骨折术后早期疗效分析

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1、授予单位代码麵９学号或申请号１：＾３＾巧（￡种Ａ這ＨｅｂｅｉＭｅｄｉｃａｌＵｎｉｖｅｒｓｉｔｙ硕古学位论文在职科学学位ＰＦＮＡ治疗老年股骨粗隆间骨折术后早期疗效分析学位申请人：银晓永导师：吴希瑞教授专业；外科学二级学院：第兰医院２０１５年１０月河化医科大学学位论文使用授权及知识产权归属承诺本学位论文在导师（或指导小绝）的指导下，由本人独立完成。本学位论文研究所获得的硏究成果，其知识产较归河北區科大学所＇有。河北蔭科大学有权对本学位论文迸巧交流、公开巧使用。凡发表与学位论文主要内

2、容相关的论文一，第署名次单位河北医科大学，试验材料、原始数据、申报的专利等知识产权均归河北医科大学所有。巧则，承担相应法律责任。研究生签省：导师签二级学院领專遙＾巧化医科大学研究生学位论文独创性声明本论文是在导师指导下进行的研究工作及取得的研究成果，除了文中特别加挺标注和致谢等巧容外，文中不包含其他人已经发表或撰写的研究成果，指导教师对此进行了审定。本论文由本人独立撰写，文责自负。研巧生签名：导师签章：年Ｍ月又／曰目录中文摘要·············································

3、··························1英文摘要········································································3研究论文PFNA治疗老年股骨粗隆间骨折术后早期疗效分析前言········································································5资料与方法·································································6结果···

4、·····································································9附图································································11附表·········································································13讨论·································································

5、········17结论·········································································20参考文献·································································21综述股骨粗隆间骨折术后早期疗效分析·····································24致谢··································································

6、·············33个人简历·········································································34中文摘要PFNA治疗老年股骨粗隆间骨折术后早期疗效分析摘要目的：股骨粗隆间骨折是临床上常见的疾病，这种疾病发病率较高，且在老年人群中比较常见，随着我国人口老龄化的不断加剧，股骨粗隆间骨折发生率出现上升趋势。患者发病后主要以疼痛、丧失下床活动能力、需要家属长期护理、导致原有心脑血管疾病加重等为特点，影响患者正常生活和工作。目前，临床上对于股骨粗隆间骨折治疗方法相对较多，常见的

7、包括：LCP（股骨近端锁定钢板）内固定和PFNA内固定等，这些方法均能够有效的改善患者症状，提高临床疗效。但是，临床上对于不同治疗方法在老年股骨粗隆间骨折中的疗效尚存在较大的争议。同时，患者PFNA内固定手术后早期疗效的影响因素研究也相对较少。因此，临床上研究PFNA内固定治疗老年股骨粗隆间骨折术后早期疗效的影响因素具有重要的意义。方法：选取2013年09月至2014年12月在我院（冀中能源峰峰集团总医院）因股骨粗隆间骨折手术治疗的80例老年患者资料进行分析，根据采用内固定方案不同将患者分为LCP组和PFNA组，比较两组患者临床治疗后手术时间、术中出血量、住

8、院时间以及术后愈合时间、并发症等指标，分析患者PFN