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目的探讨防旋股骨近端髓内针（PFNA）和股骨近端解剖锁定钢板（LPFP）治疗股骨转子间骨折的临床疗效。方法老年股骨转子间骨折患者61例，分别采用 PFNA（A 组，31例）和 LPFP 进行手术治疗（B 组，30例）。观察并比较两组患者的手术时间、术中出血量、术后下地活动时间及术后髋关节功能 Harris 评分。结果61例患者均获随访，时间10～23个月。两种手术方法手术时间、术中出血量、术后下地活动时间及术后1个月的髋关节评分比较，差异有统计学意义（P ＜0.05），术后3个月及术后1年髋关节评分比较，差异无统计学意义（P ＞0.05）。结论两种方法均适用于转子间骨折，PFNA 相对于 LPFP 具有手术时间短、术中出血少、术后髋关节功能恢复快等优点。“,”Objective To compare the clinical effects of proximal femoral nail anti-rotation(PF-NA)and proximal femoral locking plate(LPFP)for intertrochanteric fractures. Methods In the 61 elderly patients,31 patients were treated with PFNA(group A)and 30 patients(group B)were treated with LPFP. The time of operation,amount of bleeding,time of ambulation and postoperative Harris score were com-pared between groups. Results There were statistical differences between the two groups in operation time,amount of bleeding,the time of ambulation and the postoperative Harris score after one month(P 0. 05). Conclusion PFNA and LPFP are both helpful in the treatment of intertrochanteric frac-tures. However,PFNA has the advantages of short operation time,few blood loss and quick recovery.