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1、DHS与PFN治疗股骨粗隆间骨折的临床效果观察周国刘晓西安市阎良区中医医院骨二科X关注成功！加关注后您将方便地在我的关注中得到本文献的被引频次变化的通知！·新浪微博·腾讯微博·人人网·开心网·豆瓣网·网易微博摘 要：目的分析动力髋螺钉(DHS)与股骨近端髓内钉(PFN)治疗股骨粗隆间骨折患者的临床效果。方法选取我院2016年1月至2016年12月收治的50例股骨粗隆间骨折患者作为研究对象,根据不同治疗方式将其分为研究组(25例)与对照组(25例)。研究组行PFN治疗,对照组行DHS治疗。比较两组
2、髋关节功能改善优良率与术后骨折愈合时间、术后负重时间、术中出血量、手术时间。结果研究组手术之后的髋关节功能优良率为96.00%,高于对照组的68.00%(P<0.05);研究组的术后骨折愈合时间、术后负重时间、手术时间短于对照组,术中出血量少于对照组,差异有统计学意义(P<0.05)。结论PFN应用于股骨粗隆间骨折患者治疗中的效果优于DHS,可缩短患者的手术时间、术后负重时间、术后骨折愈合时间,减少术中出血量,进一步促进髋关节功能的恢复,值得临床推广运用。关键词：动力髋螺钉(DHS);股骨近端髓内钉(
3、PFN);股骨粗隆间骨折;作者简介：周国(1978-),男,汉族,陕西西安人,主治医师,学士。研究方向:粗隆间骨折PFN治疗或桡骨远端外固定架治疗。ClinicaleffectobservationofDHSandPFNinthetreatmentoffemoralintertrochantericfractureZHOUGuoLIUXiaoSecondOrthopedicsDepartment,TraditionalChineseMedicineHospitalofYanliangDistrict;
4、Abstract：ObjectiveToanalyzetheclinicaleffectofdynamichipscrew(DHS)andproximalfemoralnail(PFN)inpatientswithintertrochantericfractures.MethodsFiftycasesofpatientswithintertrochantericfractureinourhospitalfromJanuary2016toDecember2016wereselectedasthestud
5、ysubjects,andweredividedintostudygroupandcontrolgroupaccordingtodifferenttreatmentmethods,with25casesineachgroup.ThestudygroupwastreatedwithPFNandthecontrolgroupwastreatedwithDHS.Theimprovementofhipjointfunction,fracturehealingtime,postoperativeweight-b
6、earingtime,intraoperativebloodloss,operationtimewerecomparedinthetwogroups.ResultsTheexcellentandgoodrateofhipfunctionafteroperationinthestudygroupwas96.00%,whichwashigherthan68.00%inthecontrolgroup(P<0.05);Thefracturehealingtime,postoperativeweight-bea
7、ringtimeandoperationtimeinthestudygroupwereshorterthanthoseinthecontrolgroup,thebloodlossinthestudygroupwaslessthanthatinthecontrolgroup,thedifferenceswerestatisticallysignificant(P<0.05).ConclusionPFNinpatientswithfemoralintertrochantericfracturehaebet
8、tereffectthanDHS,itcanshortentheoperationtime,postoperativeweight-bearingtime,postoperativefracturehealingtime,reducetheamountofbleeding,andpromotetherecoveryofhipfunction,whichisworthyofpromotionandapplicationinclinic.Keyword：dy
