LISS和PFNA治疗老年人股骨转子间骨折的对比研究
投稿时间:2015-08-25  修订日期:2015-09-28  点此下载全文
引用本文:郭文涛,王翀,杨德盛,宋兴华.LISS和PFNA治疗老年人股骨转子间骨折的对比研究[J].医学研究杂志,2015,44(10):51-53
DOI: 10.11969/j.issn.1673-548X.2015.10.014
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作者单位E-mail
郭文涛 830054 乌鲁木齐, 新疆医科大学第一附属医院骨科  
王翀 830054 乌鲁木齐, 新疆医科大学第一附属医院骨科  
杨德盛 830054 乌鲁木齐, 新疆医科大学第一附属医院骨科 472870829@qq.com 
宋兴华 830054 乌鲁木齐, 新疆医科大学第一附属医院骨科  
基金项目:国家自然科学基金资助项目(81160218)
中文摘要:目的 对比分析反向股骨远端微创内固定系统(1ess invasive stabilization system, LISS) 和股骨近端螺旋刀片抗旋髓内钉(proximal femoral nail antirotation blade, PFNA)治疗老年人股骨粗隆间骨折的临床疗效。 方法 回顾笔者医院2009年12月~2012年12月收治的48例患者。根据不同的手术方式分为:LISS组(n=24例)和PFNA组(n=24例),通过两组的手术时间、术中出血量、骨折愈合时间、Harris功能评分及相关并发症来评估两者的疗效。 结果 随访10~23个月后,两组的术后并发症、骨折愈合时间及末次随访功能评分差异无统计学意义,LISS组相对PFNA组的手术切口较长、手术时间较长、术中失血量较多。 结论 LISS和PFNA治疗股骨粗隆间骨折均可取得较好的疗效,对于老年人的股骨粗隆间骨折PFNA具有优势。
中文关键词:股骨远端微创内固定系统  股骨近端螺旋刀片抗旋髓内钉  股骨转子间骨折
 
Comparative Research of LISS and PFNA in the Senior Intertrochanteric Fracture
Abstract:Objective To compare the clinical efficacy of less invasive stabilization system (LISS) and proximal femoral nail antirotation blade (PFNA) in the senior intertrochanteric fractures. Methods A total of 48 patients of intertrochanteric fractures from December 2009 to December 2012 were retrospectively analyzed. The patients were divided into two groups according to the different methods of operation: LISS group (n=24) and PFNA group (n=24). Operation time, intraoperative blood loss, fracture healing time, Harris function scores and incidence of complications after operation were compared, in order to evaluating the effect of two methods.The analysis of viariace,LSD-T test and χ2 test were used for data analysis. Results The range of followed-up was 10-23 months, There was not statistically significant between two groups, according to incidence of complications after operation, fracture healing time and Harris function scores, but LISS group got longer incision, longer surgery time and more intraoperative blood loss. Conclusion LISS and PFNA are both effective methods to treat senile intertrochanteric fractures, compared with LCP, PFNA is an ideal method of senile intertrochanteric fractures.
keywords:Less invasive stabilization system  Proximal femoral nail antirotation blade  Intertrochanteric fracture
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