目的:研究分析股骨近端锁定钢板(LPFP)内固定治疗老年股骨转子间骨折(IF)的临床疗效. 方法:选择2011年6月至2014年5月接受治疗的老年IF患者124例作为研究对象. 64例接受LPFP 术式,纳入观察组;另60例接受动力髋螺钉( DHS)术式,纳入对照组,对比两组患者的手术及住院相关指标,随访1 年,对比两组手术疗效以及手术后的并发症情况. 结果:观察组的术程、出血量、住院时间以及术后负重的时间均分别显著少于对照组,差异均有统计学意义(均P<0.05). 观察组经手术治疗后的优良率是82.81%,显著高于对照组的66.67%,差异有统计学意义( P<0.05). 观察组手术后总并发症的发生率为1.56%,显著低于对照组的15.00%,差异有统计学意义( P<0.05). 结论:LPFP 术式治疗老年IF,疗效较好,恢复快,且并发症较少,值得进行推广应用.%Objective:To study clinical effect of locking plate fication on proximal femul ( LPFPF) in the treatment of elderly intertrochanteric fracture ( IF) . Method:From June 2011 to May 2014 in our hospi-tal, 124 cases of elderly patients with IF. were selected and divided into the observation gorup ( n=64 cases) which received LPFPF. and the control group (n=60 cases) which received dynamic hip screw (DHS), then the surgery and hospitalization related indicators in the two groups were compared, all the patients were followed up for 1 year, the therapeutic effect of the two groups in surgery and postoperative complications were compared. Result: The operative procedure, bleeding amount, hospitalization time and the time of weight bearing in the observation group were significantly less than those in the control group, and the differ-ences were statistically significant ( P <0.05) . The excellent and good rate of the observation group after sur-gery was 82.81%, was statistically higher than the control group' s 66.67%, the difference was statistically significant (P < 0.05). The incidence of postoperative complications was 1.56% in the observation group, was statistically lower than 15% in the control group, and the difference was statistically significant ( P < 0. 05) . Conclusion:LPFPF is effective in the treatment of elderly patients with IF, can make patients recover quickly, and has fewer complications, which is worthy of popularization and application.
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