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外科研究与新技术（中英文）

外科研究与新技术 ›› 2015, Vol. 4 ›› Issue (1): 27-29,47.

• 论著 • 上一篇    下一篇

LCP和PFNA手术治疗股骨转子间骨折临床疗效比较

黄华溢   

  1. 湖北航天医院
  • 收稿日期:2014-11-03 修回日期:2015-02-04 出版日期:2015-03-28 发布日期:2015-04-01
  • 通讯作者: 黄华溢 E-mail:huanghy03@sina.com

A comparison of the clinical efficacy of LCP and PFNA for surgical treatment of intertrochanteric fractures

  • Received:2014-11-03 Revised:2015-02-04 Online:2015-03-28 Published:2015-04-01

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摘要： 【摘要】 目的 通过回顾性研究，比较股骨近端解剖型锁定加压钢板 ( locking compression plate，LCP) 和股骨近端螺旋刀片抗旋髓内钉(proximal femoral nail antirotation blade，PFNA)在治疗股骨转子间骨折中的应用和临床疗效。方法 回顾性分析采用LCP钢板和PFNA治疗股骨转子间骨折60例,分成LCP组和PFNA组,LCP组是早期使用股骨近端解剖型锁定加压钢板内固定治疗的患者（30例）, PFNA组是后期采用PFNA治疗的患者（30例）对比分析两组手术时间、术中失血量及手术优秀率。结果 本组所有患者获10～15个月随访,平均12.8个月. PFNA组优秀率83.33％，高于LCP组优秀率60.00％，差异具有显著性(P<0.05)； PFNA组手术平均用时及术中出血量均少于LCP组，PFNA组未发现明显并发症。结论 LCP和PFNA钢板内固定术，均是治疗股骨转子间骨折安全有效的方法，PFNA内固定治疗股骨转子间骨折患者疗效更佳，手术时间更短，术中出血量更少，而且也安全，值得临床进一步推广应用。

关键词: 股骨转子间骨折, 解剖型锁定加压钢板, 螺旋刀片抗旋髓内钉, 临床疗效

Abstract: 【Abstract】 Objective Through a retrospective study to compare anatomical proximal femoral locking compression plate(LCP) and proximal femoral nail antirotation blade(PFNA) in the treatment of intertrochanteric fractures applications and clinical efficacy. Methods A retrospective analysis was performed using between LCP and PFNA treatment of intertrochanteric fractures of 60 cases, which are divided into LCP group and PFNA group. LCP group is the patients (30 cases) early using LCP therapy. PFNA group is the patients (30 cases) late using PFNA therapy. Comparative analysis two operative time, intraoperative blood loss and surgical excellent rates. Results All patients in PFNA group was 10 to 15 months follow-up, an average of 12.8 months. PFNA group excellent rate was 83.33%, higher than the excellent rate of LCP group which is 60%. The difference was significant (P <0.05). The average time of surgery and blood loss volume of PFNA group are all less than LCP group. PFNA group found no significant complications. Conclusions LCP and PFNA fixation are all safe and effective method to treat intertrochanteric fractures. PFNA internal fixation have better efficacy, shorter operative time, less blood loss, but also safe and worthy of further clinical application.

Key words: intertrochanteric fractures, LCP, PFNA, clinical efficacy