两种体位手术治疗老年股骨转子间骨折的疗效比较

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摘 要 目的：比较仰卧位和侧卧位手术治疗老年股骨转子间骨折的短期疗效。方法：选取183例老年股骨转子间骨折患者，将行侧卧位手术的101例患者作为A组，行仰卧位手术的82例患者作为B组。比较两组的短期临床疗效、手术一般指标及并发症总发生率。结果：两组的总有效率、并发症总发生率差异无统计学意义（P>0.05）；B组的体位摆放时间、切口长度、术中出血量较A组低（P

关键词 老年股骨转子间骨折 仰卧位手术 侧卧位手术 股骨近端抗旋髓内钉 短期疗效 并发症

中图分类号：R683.3 文献标志码：A 文章编号：1006-1533（2021）17-0046-03

Comparison of short-term curative effect of supine and lateral supine operation on elderly patients with intertrochanteric fracture

XU Xiefeng

（Hengfeng County People’s Hospital， Shangrao 334300， China）

ABSTRACT Objective： To compare the short-term curative effect of supine and lateral decubitus surgery on elderly patients with intertrochanteric fractures. Methods： One hundred and eighty-three elderly patients with intertrochanteric femoral fractures were selected and divided into group A （101 cases undergoing lateral surgery） and group B （82 cases undergoing supine surgery）. The short-term clinical efficacy， general surgical indicators and the total incidence of complications were compared between the two groups. Results： The total effective rate and the total incidence of complications showed no statistical significance between the two groups. The posture placement time， incision length， intraoperative blood loss were lower in group B than group A （P

KEy WORDS intertrochanteric fracture of the femur in the elderly； supine position surgery； lateral position surgery； proximal femoral anti-rotation intramedullary nail； short-term efficacy； complications

股骨近端抗旋髓內钉（proximal femoral nail antirotation，PFNA）是目前临床治疗老年股骨转子间骨折最常用的方式，其具有固定性好、创伤小、恢复快速等优势，可将骨折断端良好复位，恢复髋关节生理功能，但不同手术体位治疗效果存在差异，而选取最佳手术体位，对临床应用具有重要意义[1-2]。（剩余3724字）