微创PFNA和切开DHS内固定技术治疗高龄患者股骨转子间骨折的比较研究

摘要

目的：比较PFNA和DHS治疗高龄患者股骨转子间骨折的临床效果。方法：回顾性分析2011年7月-2014年4月本院收治的74例股骨转子间骨折患者的临床资料，根据手术方式不同分为PFNA组和DHS组。PFNA组给予微创PFNA内固定术；DHS组给予切开DHS内固定术，记录比较两组手术相关指标及临床疗效。结果：PFNA组手术切口长度、手术时间及平均出血量均优于DHS组，比较差异均有统计学意义（P<0.05）；PFNA组优良率高于DHS组，比较差异有统计学意义（P<0.05）。结论：微创PFNA较切开DHS内固定治疗股骨转子间骨折具有微创、手术时间短、出血量少、治疗效果好的优点。%Objective:To compare the clinical effect of PFNA and DHS in the treatment of elderly patients with femoral intertrochanteric fracture.Method:The clinical data of 74 patients with femoral intertrochanteric fracture in our hospital from July 2011 to April 2014 were retrospectively analyzed.They were divided into group PFNA and group DHS according to the operation method.Patients in group PFNA were given minimally invasive PFNA internal fixation,while group DHS was given open reduction with DHS internal fixation.The indexes related to the operation and the clinical effects of the two groups were recorded and compared.Result:The length of the incision,the average operation time and the average bleeding volume of group PFNA were better than those of group DHS,the differences were statistically significant(P<0.05).The excellent and good rate of group PFNA was higher than that of group DHS,the difference was statistically significant(P<0.05).Conclusion:Compared with open reduction with DHS internal fixation, minimally invasive PFNA treatment has the advantages of minimally invasive,shorter operative time,less blood loss and better clinical effect.