[1]严志亮 吕欣 张建国 李长江 张经.早期手术治疗老年患者股骨转子间骨折的临床疗效分析[J].中国中医骨伤科杂志,2019,27(06):30-33.
　YAN Zhiliang LYU Xin ZHANG Jianguo LI Changjiang ZHANG Jing.Clinical Analysis of PFNA Surgery for Intertrochanteric Fracture of Femur in Elderly Patients[J].Chinese Journal of Traditional Medical Traumatology & Orthopedics,2019,27(06):30-33.
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早期手术治疗老年患者股骨转子间骨折的临床疗效分析()
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《中国中医骨伤科杂志》[ISSN:1005-0205/CN:42-1340/R]

卷:
第27卷
期数:
2019年06期
页码:
30-33
栏目:
临床研究
出版日期:
2019-06-04

文章信息/Info

Title:
Clinical Analysis of PFNA Surgery for Intertrochanteric Fracture of Femur in Elderly Patients
文章编号:
1005-0205(2019)06-0030-04
作者:
严志亮1 吕欣1 张建国1 李长江1 张经1
1山西医科大学第二附属医院(太原,030001)
Author(s):
YAN Zhiliang1 LYU Xin1 ZHANG Jianguo1 LI Changjiang1 ZHANG Jing1
1The Second Hospital of Shanxi Medical University,Taiyuan 030001,China.
关键词:
转子间骨折;  手术时机;  老年人;  临床疗效
Keywords:
intertrochanteric fractures;  operation occasion;  aged;  clinical effect
分类号:
R683.42
文献标志码:
A
摘要:
目的:探讨早期PFNA手术治疗老年股骨转子间骨折的临床疗效。方法:回顾性分析从2015年6月到2017年2月55例行PFNA手术治疗的老年股骨转子间骨折患者的临床资料。根据受伤至手术时间不同分为早期手术组(24 h内)、择期手术组(24 h后)。比较两组患者术后1年内的死亡率、住院期间并发症发生率、住院时间、及术后1年存活患者的骨折愈合时间、末次随访时髋关节功能。结果:所有患者术后获得平均12.8个月(12～15个月)随访。早期手术组患者住院期间并发症发生率(28.0%,7/25),明显低于择期手术组患者(60.0%,18/30),差异有统计学意义(P<0.05),住院时间(8.24±2.35)d短于择期手术组患者(10.63±2.22)d,差异有统计学意义(P<0.05)。两组患者骨折愈合平均时间分别为早期手术组(12.96±1.10)周、择期手术组(13.28±1.36)周,差异无统计学意义(P>0.05)。术后1年死亡率:早期手术组患者术后1年内死亡4例,死亡率为16%; 择期手术组术后1年死亡患者7例,死亡率为23.3%,两组差异无统计学意义(P>0.05)。术后1年内存活患者末次随访时髋关节功能:早期手术组Harris评分80以上17例,优良率为80.95%; 择期手术组Harris评分80以上19例,优良率为82.60%,两组差异无统计学意义(P>0.05)。结论:老年股骨转子间骨折患者早期PFNA手术治疗能够降低住院期间并发症的发生率并缩短住院时间。
Abstract:
Objective: To investigate the clinical effects of early surgery of femoral intertrochanteric fractures in elderly patients.Methods:A retrospective study was conducted at 55 elderly patients who were treated for femoral intertrochanteric fracture from June 2015 through February 2017.The time from injury to surgery ranged from 1 to 5 d(average,2.6 d).We compared the two groups in terms of in-hospital complications,fracture healing time,length of hospital stay,1 year mortality rate,and Harris hip scores at the last follow-up.Results:All the patients were followed up for 12 to 15 months(mean,12.8 months).The rate of in-hospital complications in the early surgery group(28.0%,7/25)was significantly lower than that in the selective operation group(60.0%,18/30),and the length of hospital stay in the former(8.24±2.35)d was significantly shorter than in the latter(10.63 ± 2.22)d(P<0.05). The 1-year mortality rate were 16% in the early surgery group and 23.3% in the other group,there was no significant relationship between the timing of surgery and mortality.And there was no significant difference between the 2 groups in fracture healing time(12.96±1.10)weeks versus(13.28±1.36)weeks(P>0.05).According to the Harris hip scores at the last follow-up,the early surgery group had 17 patients score over 80,while the selective operation group had 19,it shows no significant difference between two groups(P>0.05).Conclusion:Early surgery can reduce in-hospital complications and length of hospital stay for old patients with femoral intertrochanteric fracture.

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备注/Memo

备注/Memo:
1山西医科大学第二附属医院(太原,030001)
更新日期/Last Update: 2019-06-04