2018人工关节置换术与PFNA治疗老年不稳定型股骨转子间骨折的近期和远
[摘要] 目的 探讨人工髋关节置换术和近端防旋髓内钉（PFNA）治疗老年股骨转子间骨折的近期和远期疗效。 方法 2013年2月～2014年7月间选择株洲市中心医院收治的65岁以上股骨转子间骨折患者共120例为研究对象，分别采用PFNA 或者人工髋关节置换术治疗，PFNA 组62例，人工关节置换术组58例。观察比较两组患者的近期和远期疗效。 结果 PFNA组患者的手术时间明显短于置换术组，术中出血量明显少于置换术组，两组间比较差异存在统计学意义（P0.05）。术后1、3、6个月，两组患者的Harris评分比较，置换术组患者的评分明显高于PFNA组，差异有统计学意义（P http://[关键词] 股骨转子间骨折；老年；股骨近端髓内钉内固定；人工关节置换术
[中图分类号] R687.3 [文献标识码] B [文章编号] 1673-9701（2017）33-0066-04
Objective To investigate the short-term and long-term curative effects of artificial hip arthroplasty replacement and proximal femoral nail antirotation（PFNA） in the treatment of intertrochanteric fractures in the elderly. Methods From February 2013 to July 2014， 120 patients with intertrochanteric fractures aged over 65 who were admitted to Zhuzhou Central Hospital were selected as the study subjects. PFNA or artificial hip replacement were given respectively， with 62 cases in PFNA group， and 58 cases in artificial joint replacement group. The observation indices of short-term and long-term efficacy were compared and observed between the two groups of patients. Results The operation time in the PFNA group was significantly shorter than that in the replacement group. The intraoperative blood loss was significantly less than that in the replacement group. The differences between the two groups were statistically significant（P0.05）. At 1， 3 and 6 months postoperatively， Harris scores were compared between the two groups， and the scores of the patients in the replacement group were significantly higher than those in the PFNA group， there was statistically significant difference between the two groups（P
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