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外科研究与新技术（中英文）

外科研究与新技术 ›› 2016, Vol. 5 ›› Issue (1): 35-37.

• 论著 • 上一篇    下一篇

PFNA治疗股骨转子间伴或不伴外侧壁骨折98例临床分析

黄文雅   

  1. 广东省雷州市人民医院
  • 收稿日期:2015-12-03 修回日期:2015-12-30 出版日期:2016-03-28 发布日期:2016-03-08
  • 通讯作者: 黄文雅 E-mail:3166847796@qq.com

Clinical treatment analysis of PFNA in 98 cases of femoral intertrochanteric fracture with or without lateral wall fracture

  • Received:2015-12-03 Revised:2015-12-30 Online:2016-03-28 Published:2016-03-08

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摘要： 目的 探讨PFNA治疗股骨转子间伴或不伴外侧壁骨折的临床疗效。方法 选取2011年8月-2014年8月于我院采取PFNA治疗股骨转子间患者98例。按照术前CT三维重建图像观察，分为A组（伴外侧壁骨折组）49例，B组（不伴外侧壁骨折组）49例，对比两组患者的临床疗效。结果 手术后，外侧壁未骨折组的手术时间、住院天数明显小于外侧壁骨折组，且外侧壁未骨折组的术中出血量明显小于外侧壁骨折组，外侧壁骨折组的部分、完全负重时间、骨折愈合时间明显高于外侧壁骨折组，(P<0.05)。结论 对于股骨转子间同时伴外侧壁骨折的患者应当结合CT三维重建技术，具有较高的临床推广和应用价值。

关键词: PFNA, 股骨转子间, 外侧壁骨折

Abstract: Objective:To study the clinical effect of PFNA in patients of femoral intertrochanteric fracture with or without lateral wall fracture. Method:98 femoral intertrochanteric fracture patients of receiving PFNA from August 2011 to August 2014 in our hospital were selected. According to the preoperative observation of CT three-dimensional reconstruction imaging, the patients were divided into Group A and Group B, 49 cases each group. Group A had lateral wall fracture while Group B did not have lateral wall fracture. The clinical efficacy for two groups was compared. Result:After treatment, the operation time and hospitalization time for Group B was significantly shorter than that of Group A; during operation, the bleeding amount of Group B was fewer than that of Group A; the partial and complete weight bearing time and healing time for Group B was better than that of Group A(P＜0.05).Conclusion: For patients of femoral intertrochanteric fracture complicated with lateral wall fracture, CT three-dimensional reconstruction technology has a higher clinical promotion and application value.

Key words: PFNA, Femoral Intertrochanteric, Lateral Wall Fracture