本文選題：骨質(zhì)疏松　切入點(diǎn)：股骨粗隆間骨折　出處：《山東醫(yī)藥》2016年46期 　論文類型：期刊論文

【摘要】：目的比較股骨近端防旋髓內(nèi)釘(PFNA)與微創(chuàng)內(nèi)固定系統(tǒng)(LISS)治療老年骨質(zhì)疏松性股骨粗隆間骨折的臨床療效。方法選擇老年骨質(zhì)疏松性股骨粗隆間骨折患者96例,按隨機(jī)數(shù)字表法分為PFNA組48例、LISS組48例。PFNA組、LISS組分別采用PFNA、LISS方法行內(nèi)固定治療。記錄兩組手術(shù)時(shí)間、術(shù)中出血量,統(tǒng)計(jì)術(shù)后1個(gè)月并發(fā)癥例數(shù)。骨性愈合時(shí)間采用X線片檢查評(píng)價(jià)。于術(shù)后6個(gè)月采用髖關(guān)節(jié)Harris評(píng)分評(píng)價(jià)髖關(guān)節(jié)功能,以Harris評(píng)分評(píng)價(jià)臨床療效。結(jié)果 PFNA組手術(shù)時(shí)間、術(shù)中出血量及骨性愈合時(shí)間均少于LISS組(P均0.05)。LISS組術(shù)后1、6個(gè)月Harris評(píng)分分別為(53.96±3.47)、(69.74±6.23)分,PFNA組分別為(66.71±4.49)、(88.11±5.17)分,PFNA組術(shù)后1、6個(gè)月Harris評(píng)分均高于LISS組(P均0.05)。LISS組優(yōu)28例、良15例、可3例、差2例、優(yōu)良率為89.58%(33/48),PFNA組分別為31、14、2、1例及93.75%(45/48),兩組臨床療效差異無統(tǒng)計(jì)學(xué)意義(P0.05)。兩組并發(fā)癥發(fā)生率差異無統(tǒng)計(jì)學(xué)意義(P0.05)。結(jié)論與LISS相比,老年骨質(zhì)疏松性股骨粗隆間骨折應(yīng)用PFNA行內(nèi)固定的手術(shù)時(shí)間及骨性愈合時(shí)間均較短,術(shù)中出血量較少,髖功能恢復(fù)較好。
[Abstract]:Objective to compare the clinical effects of PFNA- and minimally invasive internal fixation system (LISS) in the treatment of senile osteoporotic intertrochanteric femoral fractures. Methods 96 elderly patients with osteoporotic femoral intertrochanteric fractures were selected. According to the method of random digital table, 48 cases of PFNA group were divided into two groups: 48 cases of Liss group. 48 cases of Liss group in PFNA group were treated with PFNA-Liss method respectively. The time of operation and the amount of blood lost during operation were recorded in the two groups. The bone healing time was evaluated by X-ray radiography. The hip function was evaluated by hip Harris score at 6 months after operation, and the clinical efficacy was evaluated by Harris score. Results the operative time was evaluated in PFNA group. The intraoperative bleeding volume and bone healing time were less than those in LISS group (P 0.05N 路Liss group) 1 and 6 months after operation, respectively. The Harris scores in PFNA group were 53.96 鹵3.47 and 69.74 鹵6.23 respectively. The scores of Harris in PFNA group were 66.71 鹵4.49nil 鹵88.11 鹵5.17, respectively. The Harris scores at 6 months were significantly higher than those in LISS group (P 0.05), good in 15 cases, fair in 3 cases, and poor in 2 cases. The excellent and good rates were 89.58% 33 / 48% PFNA and 93.75% 45 / 48% PFNA, respectively. There was no significant difference in clinical efficacy between the two groups (P 0.05). There was no significant difference in the incidence of complications between the two groups (P 0.05). Conclusion compared with LISS, there is no significant difference in the incidence of complications between the two groups. In elderly patients with osteoporotic intertrochanteric fracture, the operative time and bone healing time of internal fixation with PFNA were shorter, the amount of intraoperative bleeding was less, and the hip function was better.
【作者單位】： 松桃苗族自治縣民族中醫(yī)院;
【分類號(hào)】：R580;R687.3

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