何阳, 邵松. 微创手术治疗老年股骨粗隆间骨折的手术时机分析[J]. 蚌埠医学院学报, 2020, 45(2): 188-191. DOI: 10.13898/j.cnki.issn.1000-2200.2020.02.014
    引用本文: 何阳, 邵松. 微创手术治疗老年股骨粗隆间骨折的手术时机分析[J]. 蚌埠医学院学报, 2020, 45(2): 188-191. DOI: 10.13898/j.cnki.issn.1000-2200.2020.02.014
    HE Yang, SHAO Song. Analysis of the operative timing of minimally invasive surgery in the treatment of femoral intertrochanteric fracture in elderly[J]. Journal of Bengbu Medical College, 2020, 45(2): 188-191. DOI: 10.13898/j.cnki.issn.1000-2200.2020.02.014
    Citation: HE Yang, SHAO Song. Analysis of the operative timing of minimally invasive surgery in the treatment of femoral intertrochanteric fracture in elderly[J]. Journal of Bengbu Medical College, 2020, 45(2): 188-191. DOI: 10.13898/j.cnki.issn.1000-2200.2020.02.014

    微创手术治疗老年股骨粗隆间骨折的手术时机分析

    Analysis of the operative timing of minimally invasive surgery in the treatment of femoral intertrochanteric fracture in elderly

    • 摘要:
      目的探讨不同手术时机对老年股骨粗隆间骨折术后疗效的影响。
      方法采用PFNA内固定治疗的老年股骨粗隆间骨折病人78例,分为2组,其中骨折48 h内手术为观察组,48 h后手术为对照组,比较2组病人手术时间、术中出血量、住院时间、住院费用、术后髋关节功能评分及术后并发症发生率。
      结果观察组病人住院时间明显短于对照组(P < 0.01),住院费用明显低于对照组(P < 0.01)。2组病人手术时间、术中出血量和术后并发症发生率差异均无统计学意义(P>0.05),2组术后1、3、6个月髋关节功能恢复优良率差异均无统计学意义(P>0.05)。
      结论骨折48 h内接受手术的老年股骨粗隆间骨折病人可获得与48 h后手术相同的治疗效果,并可缩短住院时间,减少病人经济负担。

       

      Abstract:
      ObjectiveTo explore the clinical effects of different operative timing on postoperative outcome of femoral intertrochanteric fracture in elderly patients.
      MethodsSeventy-eight femoral intertrochanteric fracture patients treated with proximal femoral nail antirotation(PFNA) internal fixation were divided into the observation group and control group.The operations in observation group and control group were performed within 48 h and after 48 h of fracture, respectively.The operative time, intraoperative blood loss, hospitalization time, hospitalization expense, postoperative hip function score(Harris score) and incidence rate of postoperative complication between two groups were compared.
      ResultsThe hospitalization time and expense in observation group were significantly less than those in control group(P < 0.01).There was no statistical significance in the operative time, intraoperative blood loss and incidence rate of postoperative complication between two groups(P>0.05).The differences of the good rates of the recovery of hip joint function between two groups were not statistically significant after 1, 3 and 6 months of operation(P>0.05).
      ConclusionsThe operation effects within 48 h and after 48 h of femoral intertrochanteric fracture in elderly patients are the same, which can shorten the hospitalization time, and reduce the economic burden of patients.

       

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