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目的:本次研究主要探讨股骨近端抗旋髓内钉(PFNA)与动力髋螺钉(DHS)治疗股骨转子间骨折并骨质疏松的临床疗效。方法:选取了2016年1月至2017年1月期间内的60例骨股转子间骨折并骨质疏松患者作为研究对象,随机分为观察组与对照组各30例,观察组采用PFNA治疗,对照组采用DHS治疗,对比两组患者的临床疗效。结果 :观察组患者的手术时间、出血量以及并发症发生率要低于对照组,存在统计学意义(P<0.05),但两组之间的髋关节Harris评分与愈合时间并没有明显的统计学差异(P>0.05)。结论:PHNA与DHS在治疗骨股转子间骨折并骨质疏松中,PFNA治疗方法具有手术时间短、创伤小以及并发症少等优点。
Objective: This study mainly discussed the clinical efficacy of proximal femoral anti-rotation intramedullary nail (PFNA) and dynamic hip screw (DHS) in the treatment of intertrochanteric fractures and osteoporosis. Methods: Sixty interosseous intertrochanteric fracture patients with osteoporosis were selected from January 2016 to January 2017. The patients were randomly divided into observation group (30 cases) and control group (30 cases). The observation group was treated with PFNA, The control group with DHS treatment, the clinical efficacy of two groups of patients were compared. Results: The operation time, the amount of bleeding and the complication rate in the observation group were lower than those in the control group (P <0.05), but there was no significant statistical difference between the two groups in the Harris hip score and the healing time Learning difference (P> 0.05). Conclusion: PHNA and DHS in the treatment of intertrochanteric fractures and osteoporosis, PFNA treatment has the advantages of short operation time, less trauma and fewer complications.