[1]吕东升,陶 杰,朱先龙,等.PFNA与Gamma钉治疗不稳定股骨粗隆间骨折的 早期疗效评价[J].医学信息,2018,31(14):104-106.[doi:10.3969/j.issn.1006-1959.2018.14.030]
 LV Dong-sheng,TAO Jie,ZHU Xian-long,et al.Evaluation of the Early Curative Effect of PFNA and Gamma Nail in the Treatment of Unstable Intertrochanteric Fracture of Femur[J].Journal of Medical Information,2018,31(14):104-106.[doi:10.3969/j.issn.1006-1959.2018.14.030]
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PFNA与Gamma钉治疗不稳定股骨粗隆间骨折的 早期疗效评价()
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医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
31卷
期数:
2018年14期
页码:
104-106
栏目:
临床研究
出版日期:
2018-07-15

文章信息/Info

Title:
Evaluation of the Early Curative Effect of PFNA and Gamma Nail in the Treatment of Unstable Intertrochanteric Fracture of Femur
文章编号:
1006-1959(2018)14-0104-03
作者:
吕东升陶 杰朱先龙王 轶
北京市中医医院怀柔医院骨科,北京 101400
Author(s):
LV Dong-shengTAO JieZHU Xian-longWANG Yi
Department of Orthopaedics,Huairou Hospital,Beijing Traditional Chinese Medicine Hospital,Beijing 101400,China
关键词:
Gamma钉股骨粗隆间骨折早期疗效
Keywords:
Key words:Gamma nailIntertrochanteric fracture of femurEarly curative effect
分类号:
R683.4
DOI:
10.3969/j.issn.1006-1959.2018.14.030
文献标志码:
A
摘要:
目的 评价PFNA与Gamma钉治疗不稳定股骨粗隆间骨折的早期疗效。方法 回顾分析2017年2月~2018年2月在我院治疗的80例不稳定股骨粗隆间骨折患者临床资料,随机分为观察组和对照组,各40例。对照组采用Gamma钉治疗,观察组采用PFNA治疗,对比两组临床早期疗效、关节功能恢复情况以及并发症。结果 观察组早期总优良率95.00%,高于对照组72.00%,差异有统计学意义(P<0.05);观察组手术出血量少于对照组,手术时间短于对照组,差异有统计学意义(P<0.05);观察组骨折愈合时间与对照组对比,差异无统计学意义(P>0.05);观察组并发症发生率低于对照组,差异有统计学意义(P<0.05)。结论 PFNA治疗不稳定股骨粗隆间骨折疗效理想,出血量,时间短,固定牢固,是一种理想的治疗方法。
Abstract:
Abstract:Objective To evaluate the early efficacy of PFNA and Gamma nail in the treatment of unstable intertrochanteric fracture of femur.Methods The clinical data of 80 patients with unstable intertrochanteric fractures treated in our hospital from February 2017 to February 2018 were retrospectively analyzed.The patients were randomly divided into observation group and control group with 40 cases in each.The control group was treated with Gamma nail and the observation group was treated with PFNA.The clinical efficacy, joint function recovery and complications were compared between the two groups.Results The total excellent and good rate in the observation group was 95.00%,which was higher than that in the control group 72.00%,the difference was statistically significant(P< 0.05),and the amount of operative bleeding in the observation group was less than that in the control group,the difference was statistically significant(P<0.05),the fracture healing time of the observation group was no significant difference compared with the control group(P>0.05),and the incidence of complications in the observation group was lower than that of the control group,with a statistically significant difference(P<0.05).Conclusion PFNA is an ideal treatment for unstable intertrochanteric fractures with unstable blood volume,short time and firm fixation.

参考文献/References:

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更新日期/Last Update: 2018-07-15