DHS與PFNA治療股骨轉(zhuǎn)子間骨折的效果觀察

摘要：目的 對比觀察股骨轉(zhuǎn)子間骨折經(jīng)DHS（動力髖螺釘）方法和PFNA（骨近端抗旋髓內(nèi)釘）方法治療的不同臨床效果。方法隨機從我院骨科2012年1月～2013年12月收治的股骨轉(zhuǎn)子間骨折中選取96例進行研究，并根據(jù)其入院順序，隨機分為對照組（48例，行DHS治療）和觀察組（48例，行PFNA治療）。結(jié)果 ①經(jīng)對比，觀察組的手術(shù)時間、下床時間和住院天數(shù)均明顯短于對照組，且術(shù)中出血量明顯少于對照組，組間各指標均存在顯著差異，有意義（P<0.05）。②經(jīng)比較，觀察組的Harris優(yōu)良率為93.75%，明顯高于對照組的66.67%，組間差異經(jīng)統(tǒng)計學分析有意義（P<0.05）。結(jié)論 和DHS相比，股骨轉(zhuǎn)子間骨折經(jīng)PFNA治療具有更顯著的臨床效果，手術(shù)的安全性更高，骨折的愈合時間較短，髖關(guān)節(jié)功能恢復更明顯。

關(guān)鍵詞：DHS；PFNA；股骨轉(zhuǎn)子間骨折；臨床效果

Discussion on the Effect of DHS and PFNA in the Treatment of Intertrochanteric Fracture

LI Jian-yu

（Department of Orthopaedics，Bazhou District People's Hospital，Bazhong 636000，Sichuan，China）

Abstract：Objective To compare intertrochanteric fractures by DHS（dynamic hip screw）method and the PFNA（anti-spin proximal bone intramedullary nail）method for the treatment of different clinical effects.Methods From my orthopedic hospital in January 2012～December 2013 intertrochanteric fracture treated selected 96 cases were studied，and based on its admission order，were randomly divided into control group（48 patients underwent treatment DHS）and observation group（48 patients underwent PFNA treatment）.Results ①By comparison，the observation group operative time，bed time and hospital stay were significantly shorter than the control group，and the blood loss was significantly less than the control group，the index showed that there were significant differences between the groups，significant（P<0.05）.②By comparison，the observation group Harris excellent 93.75%，significantly higher than 66.67%of the difference between the groups were statistically meaningful analysis（P<0.05）.Conclusion The clinical effects and DHS compared intertrochanteric fracture treatment has been PFNA more significant，surgery is more secure，fracture healing time is shorter，hip function recovery is more obvious.

Key words：DHS；PFNA；Intertrochanteric fractures；Clinical effect

在骨科的臨床診療中，對發(fā)生在小粗隆下平面和股骨頸基底之間的骨折稱之為股骨轉(zhuǎn)子間骨折[1]。老年人是該骨折類型發(fā)生的最主要類型，女性的發(fā)生率略高于男性[2]。從該骨折臨床治療的實際情況來看，手術(shù)治療是最主要的方式，且已普遍被患者所接受。本文淺談DHS與PFNA治療股骨轉(zhuǎn)子間骨折的效果觀察，現(xiàn)報告如下。

1 資料與方法

1.1一般資料 隨機從我院骨科2012年1月～2013年12月收治的股骨轉(zhuǎn)子間骨折中選取96例進行研究。入選對象均符合如下條件：①經(jīng)CT掃描或X線確診；②進行6個月以上隨訪，骨折前能獨立行走；③有不同程度的骨質(zhì)疏松、疼痛和活動障礙；④患者或家屬知情研究內(nèi)容，且自愿參與。根據(jù)患者的入院順序，將其隨機分為兩組。……