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宋卫华.重建钉与加长PFNA治疗成人高位股骨转子下骨折疗效分析[J].中国医药科学,2021,(4):205-208        基金项目:
重建钉与加长PFNA治疗成人高位股骨转子下骨折疗效分析
Analysis on the therapeutic efficacy of reconstructive nail and lengthened PFNA in the treatment of adult high subtrochanteric fracture
  
DOI:
中文关键词:  [关键词] 高位股骨转子下骨折;成人;加长PFNA;重建钉
英文关键词:[Key words] High subtrochanteric fracture; Adults; Lengthened PFNA; Reconstructive nail
作者单位
宋卫华 江苏省东海县人民医院骨科,江苏东海 222300 
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中文摘要:
      [摘要] 目的 探讨重建钉与加长PFNA治疗成人高位股骨转子下骨折(HSF)疗效。 方法 选取东海县人民医院2016年6月至2020年2月收诊的48例成人HSF患者,区域随机法分为试验组(24例,加长PFNA)与对照组(24例,重建钉),比较组间成人HSF患者的骨折愈合天数、下地行走天数、手术出血量、手术耗时、Harris评分、SQLS评分、E-IPSQ评分。 结果 试验组的骨折愈合天数、下地行走天数与对照组相比,差异无统计学意义(P>0.05);其手术出血量少于对照组,差异有统计学意义(P<0.05);其手术耗时短于对照组,差异有统计学意义(P<0.05);其Harris评分、SQLS评分、E-IPSQ评分均高于对照组,差异有统计学意义(P<0.05)。 结论 加长PFNA有助于提高成人HSF患者的手术质量、生活质量,改善其髋关节功能。
英文摘要:
      [Abstract] Objective To research the therapeutic efficacy of reconstructive nail and lengthened PFNA in the treatment of adult high subtrochanteric fracture (HSF). Methods A total of 48 adult patients with HSF admitted to Donghai County People's Hospital from June 2016 to February 2020 were selected and randomly divided into the experimental group (n=24, lengthened PFNA) and the control group (n=24, reconstructive nail) according to the regional random method. The fracture healing days, off-bed activity days, intraoperative hemorrhage volume, operation duration, Harris score, SQLS score and E-IPSQ score were compared between the two groups of adult patients. Results There were no statistically significant differences in fracture healing days and off-bed activity days between the experimental group and the control group (P>0.05). The intraoperative hemorrhage volume in the experimental group was less than that in the control group, with statistically significant difference (P<0.05). The operation duration in the experimental group was shorter than that in the control group, with statistically significant difference (P < 0.05). Harris score, SQLS score and E-IPSQ score in the experimental group were higher than those in the control group, with statistically significant differences (P < 0.05). Conclusion Lengthened PFNA is helpful to improve the operation quality and quality of life of adult patients with HSF, and improve their hip joint function.
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