本文選題：PFNA + DHS��； 參考：《山西醫(yī)科大學(xué)》2015年碩士論文

【摘要】：目的:探討動力髖螺釘、股骨近端防旋髓內(nèi)釘和人工關(guān)節(jié)置換3種方法治療老年股骨轉(zhuǎn)子間骨折療效的差異。方法:2012年9月~2014年3月,分別選擇髓外固定組、髓內(nèi)固定組與人工關(guān)節(jié)置換組各30例分別接受DHS、PFNA、人工關(guān)節(jié)置換術(shù)后比較3組的手術(shù)時間、術(shù)中出血量、住院時間、術(shù)后并發(fā)癥、下地活動所需時間和Harris功能評分等結(jié)果。結(jié)果:髓外固定組、髓內(nèi)固定組患者的手術(shù)時間術(shù)中出血量均優(yōu)于人工關(guān)節(jié)置換組但下地承重所需時間比置換組較長,3組住院時間、Harris功能評分比較差異無統(tǒng)計學(xué)意義。結(jié)論:3種方法治療高齡患者股骨轉(zhuǎn)子間骨折療效均較滿意,但股骨近端防旋髓內(nèi)釘手術(shù)更適合于高齡患者。
[Abstract]:Objective: To explore the difference between 3 methods of treatment of femoral intertrochanteric fracture in the elderly by dynamic hip screw, proximal femur anti rotation nail and artificial joint replacement. Methods: in March ~2014 September 2012, extramedullary fixation group was selected respectively, 30 cases of intramedullary fixation group and artificial joint replacement group were divided into 3 groups after DHS, PFNA, and artificial joint replacement. The operation time, the amount of bleeding in the operation, the time of hospitalization, the postoperative complications, the time needed for the ground movement and the Harris function score. Results: the amount of bleeding in the operation time of the extramedullary fixation group and the intramedullary fixation group was better than that of the artificial joint replacement group, but the time required for the lower ground bearing was longer than the replacement group, the 3 groups of hospitalization time, and the Harris function evaluation. Conclusion: the 3 methods are satisfactory for the treatment of intertrochanteric fractures of the elderly patients, but the proximal femoral intramedullary nail operation is more suitable for the elderly patients.

【學(xué)位授予單位】：山西醫(yī)科大學(xué)
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2015
【分類號】：R687.3

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本文編號：1896259