摘要
目的对比PFNA与人工股骨头置换术治疗高龄股骨粗隆间骨折的效果。方法采用计算机随机分组法将该院近3年收治的60例高龄股骨粗隆间骨折患者分为实验组和对照组,病例数均在2016年1月—2019年1月期间收治,其中实验组使用PFNA治疗,对照组使用人工股骨头置换术治疗,对比两组患者的治疗效果。结果对照组患者手术时间为(49.8±8.7)min,术中出血量为(137.4±38.5)mL,术后恢复时间为(14.9±3.7)d,实验组患者手术时间为(52.9±11.4)min,术中出血量为(328.4±37.5)mL,术后恢复时间为(7.2±1.1)d,其中手术时间与对照组比较差异无统计学意义(t=1.184,P>0.05),术中出血量、术后恢复时间差异有统计学意义(t=19.465,P<0.05;t=10.926,P<0.05);实验组患者术后1个月Harris评分为(67.9±5.9)分,术后2个月Harris评分为(75.4±3.9)分,术后3个月Harris评分为(84.9±5.5)分;对照组患者术后1个月Harris评分为(70.1±6.4)分,术后2个月Harris评分为(75.5±4.7)分,术后3个月Harris评分为(82.7±4.2)分,两组患者Harris评分差异无统计学意义(t=1.384、0.090、1.741,P>0.05);实验组患者术后并发症发生率为6.67%(2例),与对照组的10.00%(3例)比较差异无统计学意义(t=0.218,P>0.05)。结论PFNA与人工股骨头置换术对高龄股骨粗隆间骨折的治疗效果相当,均可有效恢复患者关节功能,且术后并发症少,但二者在手术操作上存在差异,实际应用中可依据患者需求选择。
Objective To compare the effects of PFNA and artificial femoral head replacement in the treatment of intertrochanteric fractures of the elderly.Methods 60 elderly patients with intertrochanteric fractures treated in our hospital in the past three years were divided into experimental group and control group by computer randomized grouping method.The number of cases were treated from January 2016 to January 2019.The experimental group was treated with PFNA,and the control group was treated with artificial femoral head replacement.The treatment effects of the two groups were compared.Results The operation time of the control group was(49.8±8.7)min,the intraoperative blood loss was(137.4±38.5)mL,the postoperative recovery time was(14.9±3.7)d,and the experimenta group was(52.9±11.4)min,the intraoperative blood loss was(328.4±37.5)mL,and the postoperative recovery time was(7.2±1.1)d.The operation time was not statistically significant compared with the control group(t=1.184,P>0.05).The intraoperative bleeding amount and postoperative recovery time were statistically significant(t=19.465,P<0.05;t=10.926,P<0.05);the Harris group score in the experimental group was(67.9±5.9)points at 1 month after surgery,the Harris score was(75.4±3.9)points in the next 2 months,and the Harris score was(84.9±5.5)points in the 3 months after the operation.The Harris score of the control group was(70.1±6.4)points in the 1 month and 2 months was(75.5±4.7)points,and the Harris score at three months after operation was(82.7±4.2)points.There was no statistically significant difference in Harris score between the two groups of patients(t=1.384,0.090,1.741,P>0.05);the incidence of postoperative complications in the experimental group of patients was 6.67%(2 cases),which was not statistically significant compared with 10.00%(3 cases)in the control group(t=0.218,P>0.05).Conclusion PFNA and artificial femoral head replacement are effective for the treatment of elderly femoral intertrochanteric fractures,and both can effectively restore the joint function of patients with fewer postoperative complications.However,there are differences in surgical operation between the two.The actual choice should base on patient needs.
作者
李国俊
LI Guo-jun(Department of Orthopaedics,the Second People's Hospital of Xuyi County,Xuyi,Jiangsu Province,211700 China)
出处
《世界复合医学》
2020年第3期64-66,共3页
World Journal of Complex Medicine
关键词
PFNA
人工股骨头置换术
高龄股骨粗隆间骨折
关节功能
并发症
PFNA
Artificial femoral head replacement
Elderly femoral intertrochanteric fracture
Joint function
Complications
作者简介
李国俊(1973-),男,江苏淮安人,本科,副主任医师,研究方向:关节骨科。
