摘要
目的 分析探究PFNA内固定与人工股骨头置换治疗高龄股骨粗隆间骨折的效果。方法 选取2018年8月至2021年12月期间，于我院接受股骨粗隆间骨折手术治疗的患者共33例作为本次研究对象。按照电脑盲选的方式，将患者随机分为对照组与观察组。对照组采用人工股骨头置换术的治疗手段进行干预；观察组采用PFNA内固定术的治疗手段进行干预。对比分析对照组与观察组的治疗有效率、手术相关指标、Harris评分、并发症发生率。结果 术后对比分析发现，观察组治疗有效率、Harris评分明显优于对照组，手术相关指标方面中：在手术时间、术中出血量、观察组均优于对照组，完全负重时间方面对照组优于观察组，其中P＜0.05，差异具有统计学意义。结论 对于治疗高龄股骨粗隆间骨折PFNA内固定相比于人工股骨头置换具有更好的临床效果，值得推广与应用。
关键词： PFNA内固定；人工股骨头置换；高龄股骨粗隆间骨折；效果对比；Harris评分
Abstract
Objective To analyze the effect of PFNA internal fixation and artificial femoral head replacement in the treatment of elderly femoral intertrochanteric fractures. Methods A total of 33 patients who received surgical treatment of femoral intertrochanteric fractures in our hospital from August 2018 to December 2021 were selected as the research objects. According to the method of computer blind selection, the patients were randomly divided into the control group and the observation group. The control group was intervened by artificial femoral head replacement; the observation group was intervened by PFNA internal fixation. The treatment effective rate, operation-related indicators, Harris score, and complication rate of the control group and the observation group were compared and analyzed. Results Postoperative comparative analysis showed that the effective rate and Harris score of the observation group were significantly better than those of the control group. In terms of surgery-related indicators: the operation time, intraoperative blood loss, and the observation group were better than the control group, and the control group was better than the control group in terms of complete weight-bearing time. better than the observation group, P<0.05, the difference was statistically significant. Conclusion Compared with artificial femoral head replacement, PFNA internal fixation has better clinical effect in the treatment of elderly intertrochanteric fractures, and it is worthy of promotion and application.
Key words： PFNA internal fixation; Artificial femoral head replacement; Elderly intertrochanteric fractures; Effect comparison; Harris score
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