摘要
目的：探讨改进型股骨近端髓内钉系统(PFNA)治疗高危老龄股骨近端骨折的临床效果。方法将我院70例高危老龄股骨近端骨折患者随机分为两组各35例，研究组采用PFNA治疗，对照组采用锁定钢板治疗，分析两组疗效。结果研究组手术时间、术中出血量和术后并发症发生率方面均低于对照组，术后关节Harris评分优良率高于对照组(P <0.05)。结论高危老龄股骨近端骨折患者对手术的耐受性低，基础疾病多，手术应尽量减少损伤。PFNA治疗相比锁定钢板，时间短、出血少，并发症少，应作为首选术式。
Abstract
Objective To explore clinical effect of PFNA in treatment of femur proximal end fracture in high risk elders. Methods 70 cases with femur proximal end fracture in our hospital were selected as test subjects. Patients were randomly divided into research group and control group, 35 cases in each group. PFNA and locked plating were respectively applied in research group and control. Therapeutic effect was compared. Results Operative time, peri-operative bleeding and incidence rate of postoperative complications in research group were lower than control group. Harris score for postoperative joint in research group was higher than control group. The difference is statistically significant(P <0.05). Conclusion Operation should try to reduce the damage to patients, because tolerance of body reduces. Complications maybe appear. Compared PFNA with locked plating, there are less complicates, less bleeding and so on. PFNA should be taken as the first choice for treating femur proximal end fracture in high risk elders.
NETL
NSTL
维普
万方数据