| 李发东.普通型与加长型股骨近端防旋髓内钉(PFN-A)治疗老年股骨粗隆间骨折的临床研究[J].实用中西医结合临床,2016,16(5): |
| 普通型与加长型股骨近端防旋髓内钉(PFN-A)治疗老年股骨粗隆间骨折的临床研究 |
| Clinical research to the general and proximal femur lengthened anti rotary intramedullary nail (PFN-A) clinical effect of treatment of senile intertrochanteric fractures. |
| 投稿时间：2016-03-29 修订日期：2016-04-25 |
| DOI： |
| 中文关键词: 股骨粗隆间骨折 普通型PFN-A 加长型PFN-A |
| 英文关键词: enile intertrochanteric fractures the genera PFN-A the lengthened PFN-A |
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| 中文摘要: |
| 目的：观察普通型与加长型股骨近端防旋髓内钉（PFN-A）治疗老龄股骨粗隆间骨折的临床疗效。方法：自2012年12月~2015年10月在我院74例股骨粗隆间骨折老年患者应用以上两种方法治疗，观察患者手术时间、术中出血量，评估术后髋关节功能恢复情况，下地活动时间、骨折临床愈合时间。结果：加长型患者组52例，手术时间为30~92分钟，平均为68分钟；术中出血 150~400ml，平均为 289ml；术后下床时间平均为3天，术后随访评估患髋关节功能优38例，良11例，可3例，优良率为 94.2%；普通型患者组19例，手术时间为26~84分钟，平均52分钟；术中出血100~300ml，平均为182ml；术后下床时间平均为9天，术后随访评估患髋关节功能优13例，良3例，可2例，差1例，优良率为 84.2%；所有手术患者在术后均未出现退钉、髓内针断裂、切口感染、骨折不愈合等并发症，术后1例因心脑血管疾病死亡，1例因脑梗死亡，1例因血栓死亡。结论：两种方法都是治疗老年患者股骨粗隆间骨折的有效方法，相比之下加长型PFN-A更有利患者早期下床功能锻炼，以减少卧床并发症的发生。 |
| 英文摘要: |
| objective to observe the general and proximal femur lengthened anti rotary intramedullary nail (PFN-A) clinical effect of treatment of senile intertrochanteric fractures. Methods: from December 2012 ~ October 2015 in our hospital 74 cases of femoral intertrochanteric fractures in elderly Abstract: objective to observe the general and proximal femur lengthened anti rotary intramedullary nail (PFN-A) clinical effect of treatment of senile intertrochanteric fractures. Methods: from December 2012 ~ October 2015 in our hospital 74 cases of femoral intertrochanteric fractures in elderly patients applied with two methods of treatment, the operation time, intraoperative blood loss, were observed to assess postoperative hip joint function recovery, and activity time, fracture clinical healing time. Results: patients with roximal femur lengthened group 52 cases, surgery time is 30 ~ 92 minutes, an average of 68 minutes; Intraoperative hemorrhage from 150 to 400 ml, an average of 289ml; Out of bed after surgery for an average of 3 days,Postoperative follow-up evaluation of hip joint function optimal 38 cases, good in 11 cases, 3 cases, fine rate was 94.2%; In 19 patients with normal group, operation time is 26 ~ 84 minutes, 52 minutes on average. Intraoperative hemorrhage from 100 to 300 ml, an average of 182 ml; Out of bed after surgery for an average of 9 days,13 cases of postoperative follow-up evaluation of hip joint function optimization, 3 cases, and can be in 2 cases, 1 case of poor, fine rate was 84.2%; After all of the patients no retreat, intramedullary pin fracture occurred, infection of incision, fracture non-unions complications, such as postoperative 1 case of disease of heart head blood-vessel, death in 1 case due to cerebral infarction and death, death from thrombosis in 1 case. Conclusion: two methods are effective in the treatment of elderly patients with femoral intertrochanteric fractures method, compared with the stretched PFNA better patients out of bed early function exercise, in order to reduce complications in bed. |
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