【摘要】 目的探讨Gamm钉、PFNA及股骨重建钉治疗老年股骨粗隆间骨折的临床疗效对比。方法选取2013年1月至2013年12月收治的老年股骨粗隆间骨折患者78例,根据手术方法将其分为3组,PFNA组56例,Gamma钉治疗组12例,股骨重建钉组10例。比较两组患者的临床指标、髋关节功能及术后并发症情况。结果 PFNA组及股骨重建钉组手术时间、术中出血量、骨折愈合时间均明显小于股骨Gamma钉组,差异有统计学意义(P<0.05);而PFNA组与股骨重建组间无明显的差异PFNA组及股骨重建钉组住院时间较Gamma钉组有所缩短,但差异无统计学意义(P>0.05)。Parker髋关节功能评定结果显示,Gamma钉组、PFNA组及股骨重建钉组3组术后总优良率分别为75%、92.8%、90%,PFNA组及股骨重建钉组高于Gamma钉组(P<0.05);术后并发症的发生率PFNA组低于其他两组(P<0.05)。结论 PFNA、Gamma钉及股骨重建钉均是治疗不稳定型股骨粗隆间骨折的有效方法,股骨重建钉及PFNA具有创伤小、手术方法简单、术后恢复快、并发症少等优点,更适合于临床应用。更多还原

【Abstract】 Objective To investigate the clinical efficacies of gamma nail,PFNA and reconstruction interlocking nail in the treatment of intertrochanteric femoral fracture.Methods 78 aged patients with intertrochanteric femoral fracture admitted in our hospital from January 2013 to December 2012 were divided into three groups: gamma nail group(n=12),PFNA group(n=56),and reconstruction interlocking nail group(n=10),according to the operation method.Clinical indexes,hip joint function and complications of the three groups were compared.Results The operation time and healing time both in PFNA and reconstruction interlocking nail group were significantly shorter than those of the gamma nail group,intraoperative blood loss was less than that of the gamma nail group,and the differences were statistically significant(P<0.05).The hospital time of the PFNA and reconstruction interlocking nail group was both shorter than that of the gamma nail group,the total effective rate was higher than that of the gamma nail group,the incidence rate of complications in PFNA group was lower than that of the gamma nail and reconstruction interlocking nail group(P<0.05).Conclusion All of the three internal fixation methods were effective treatments for femoral intertrochanteric fracture,but PFNA and reconstruction interlocking nail were more suitable for clinical application with less trauma,simpler operation method,less time for postoperative recovery and fewer complications.更多还原