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PFNA内固定术与人工髋关节置换术治疗老年不稳定性股骨转子间骨折的临床疗效对比分析

潘 辉龙, 张 国如, 刘 志远, 吴 兴源, 郑 德攀, 周 才盛

摘要

目的 比较分析股骨近端防旋髓内钉(proximal femoral nail anti-rotation,PFNA)内固定术与人工髋关节置换术治疗老年股骨转子间骨折的临床疗效,为临床选择治疗方法提供参考依据。方法 回顾性分析 2015 年 6 月—2018 年 6 月我院收治并符合选择标准的76例老年股骨转子间骨折患者临床资料,其中36例采用闭合复位 PFNA 内固定(A 组),40例行人工髋关节置换术(B 组)。记录并比较2组伤后至手术时间、切口长度、手术时间、术中出血量、下床活动时间、住院总天数,术后手术失败率、死亡率及手术相关并发症发生情况以及术前、术后1周、1个月、3个月、半年及1年视觉模拟评分(VAS)、髋关节Harris 评分。结果 2组患者均获随访,其中 A 组随访时间为 12~22 个月,平均18.4个月;B 组为 12~23 个月,平均 18.6 个月。 A 组切口长度、手术时间、术中出血量均显著低于B组(P

关键词

老年;不稳定股骨转子间骨折;股骨近端防旋髓内钉;人工髋关节置换术

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参考

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