摘要
目的研究老年不稳定性股骨粗隆间骨折患者采取股骨近端防旋髓内钉(PFNA)与人工股骨头置换术的治疗效果。方法60例老年不稳定性股骨粗隆间骨折,利用电脑随机法分为研究组和对照组,各30例。研究组患者接受PFNA治疗,对照组患者接受人工股骨头置换术治疗。比较两组患者输血量、出血量、术后引流量、手术时间及髋关节功能评分。结果研究组输血量(84.28±16.48)ml、出血量(173.18±21.28)ml及术后引流量(64.20±22.64)ml均少于对照组的(262.03±98.49)、(300.24±83.49)、(206.27±86.28)ml,手术时间(51.84±12.88)min短于对照组的(79.00±38.66)min,差异具有统计学意义(P<0.05)。研究组术后1、3个月的髋关节功能评分分别为(36.68±11.77)、(67.02±8.83)分,低于对照组的(69.31±16.49)、(74.03±7.96)分,差异具有统计学意义(P<0.05)。结论对老年不稳定性股骨粗隆间骨折采取PFNA治疗可有效减少术中出血量,缩短手术时间,但是采用人工股骨头置换术后的髋关节恢复效果优于PFNA,因此需要依照患者的具体需求及疾病特点选择最佳的手术方式,从而保证手术治疗效果。
Objective To study the effect of proximal femoral nail anti-rotation(PFNA)and artificial femoral head replacement in the treatment of unstable femoral intertrochanteric fractures in the elderly.Methods A total of 60 elderly patients with unstable femoral intertrochanteric fractures were randomly divided into a research group and a control group,with 30 cases in each group.Patients in the research group received PFNA treatment,and patients in the control group received artificial femoral head replacement.The amount of blood transfusion,amount of bleeding,postoperative drainage volume,operation time and hip function scores were compared between the two groups.Results The amount of blood transfusion(84.28±16.48)ml,amount of bleeding(173.18±21.28)ml and postoperative drainage volume(64.20±22.64)ml in the research group were all less than(262.03±98.49),(300.24±83.49)and(206.27±86.28)ml in the control group;the operation time(51.84±12.88)min in the research group was shorter than(79.00±38.66)min in the control group;the differences were all statistically significant(P<0.05).At 1 and 3 months after surgery,the hip function scores of the research group were(36.68±11.77)and(67.02±8.83)points,which were lower than(69.31±16.49)and(74.03±7.96)points of the control group,and the differences were all statistically significant(P<0.05).Conclusion PFNA for the treatment of unstable intertrochanteric fractures in the elderly can effectively reduce the amount of bleeding during surgery and shorten the operation time.However,the recovery effect of the hip joint after artificial femoral head replacement surgery is better than PFNA.Therefore,it is necessary to choose the best surgical method according to the specific needs of the patient and the characteristics of the disease,so as to ensure the effect of surgical treatment.
作者
刘劲松
LIU Jin-song(First Department of Orthopedics,Liaoning Nuclear Industry General Hospital,Xingcheng 125100,China)
出处
《中国现代药物应用》
2022年第22期40-43,共4页
Chinese Journal of Modern Drug Application
关键词
不稳定性股骨粗隆间骨折
股骨近端防旋髓内钉
人工股骨头置换术
Unstable femoral intertrochanteric fractures
Proximal femoral nail anti-rotation
Artificial femoral head replacement
