【摘要】 目的探讨股骨近端防旋髓内钉与滑动加压髋螺钉治疗股骨粗隆间骨折的临床效果。方法选取2011年3月至2014年3月本院收治的112例股骨粗隆间骨折患者为研究对象,按治疗方法不同分为治疗组(采用股骨近端防旋髓内钉治疗)和对照组(采用滑动加压髋螺钉治疗),每组各56例。比较两组患者治疗效果。结果两组患者优良率比较差异无显著性(P>0.05);两组Ⅰ、Ⅱ型稳定型骨折患者优良率比较差异无显著性(P>0.05);治疗组Ⅲ、Ⅳ、Ⅴ型不稳定型骨折患者优良率高于对照组(P<0.05)。结论股骨近端防旋髓内钉与滑动加压髋螺钉对Ⅰ、Ⅱ型稳定型骨折的治疗效果相当,但股骨近端防旋髓内钉对Ⅲ、Ⅳ、Ⅴ型不稳定型骨折的治疗效果明显优于滑动加压髋螺钉。更多还原

【Abstract】 Objective To compare the clinical curative effects of proximal femoral nail anti-rotation(PFNA) and dynamic hip screw(DHS) on hip joints in the treatment of intertrochanteric fracture. Method 112 patients with intertrochanteric fracture who underwent operations from March 2011 to March 2014 in our hospital were enrolled as research objects and randomly divided into observation group(treated with PFNA) and control group(treated with DHS), 56 cases in each group. Compared the clinical efficacy of the two groups after treatment. Result There was no significant difference in the cure and improvement rate between the two groups(P > 0.05). The difference in the cure and improvement rate of type Ⅰ and Ⅱ of stable fractures between the two groups were not statistically significant. The cure and improvement rate of types Ⅲ, IV and V of unstable fractures in observation group was higher than control group with statistically significance(P < 0.05). Conclusion There is not much difference between the postoperative functional healing by PFNA and DHS in the treatment of types Ⅰ and Ⅱ of stable fractures, but the effect by PFNA in the treatment of type Ⅲ, IV and V of unstable fractures is much better than that by DHS.更多还原