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1、人工關節(jié)置換術與PFNA治療老年不穩(wěn)定型股骨轉子間骨折的近期和遠300字
[摘要] 目的 探討人工髖關節(jié)置換術和近端防旋髓內釘（PFNA）治療老年股骨轉子間骨折的近期和遠期療效。 方法 2013年2月～2014年7月間選擇株洲市中心醫(yī)院收治的65歲以上股骨轉子間骨折患者共120例為研究對象，分別采用PFNA 或者人工髖關節(jié)置換術治療，PFNA 組62例，人工關節(jié)置換術組58例。觀察比較兩組患者的近期和遠期療效。 結果 PFNA組患者的手術時間明顯短于置換術組，術中出血量明顯少于置換術組，兩組間比較差異存在統(tǒng)計學意義（P0.05）。術后1、3、6個月，兩組患者的
2、Harris評分比較，置換術組患者的評分明顯高于PFNA組，差異有統(tǒng)計學意義（P<0.05）。術后隨訪1、2、3年，兩組患者的Harris評分比較，PFNA組患者的Harris評分明顯高于置換術組，差異有統(tǒng)計學意義（P<0.05）。 結論 關節(jié)置換術對早期髖關節(jié)功能恢復的影響優(yōu)于PFNA 內固定治療，但PFNA 內固定的遠期療效明顯優(yōu)于人工關節(jié)置換術，更適合難以承受大手術的老年患者。
畢業(yè)
[關鍵詞] 股骨轉子間骨折；老年；股骨近端髓內釘內固定；人工關節(jié)置換術
[中圖分類號] R687.3 [文獻標識碼] B [文章編號] 1673-9701（2017）33-0066-04
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[Abstract] 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 inte
4、rtrochanteric 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 a
5、nd 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 bet
6、ween 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 dif
7、ference between the two groups（P<0.05）. In 1， 2， 3 years of follow-up visit after operation， the Harris scores in both groups were compared， and the Harris scores in the PFNA group were significantly higher than those in the replacement group， there was statistically significant difference between t
8、he two groups（P<0.05）. Conclusion The effect of joint arthroplasty replacement on the recovery of early hip function can be better than that of PFNA， but the long-term efficacy of PFNA fixation is significantly better than that of artificial joint replacement surgery， which is more suitable to the elderly patients who are difficult to bear complicated surgical procedures.
人工關節(jié)置換術與PFNA治療老年不穩(wěn)定型股骨轉子間骨折的近期和遠300字
