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目的探讨人工股骨头置换术与内固定治疗高龄骨质疏松股骨粗隆间骨折患者的临床效果。方法选取2013-01-2015-01廊坊市第四人民医院收治的高龄骨质疏松股骨粗隆间骨折患者60例为研究对象,按入院时间分为PFNA治疗组、ALP治疗组及人工髋关节置换术组,观察3组患者手术时间、术中出血量、愈合时间、住院时间,以及治疗总有效率、并发症发生率。结果 PFNA治疗组及ALP治疗组疗效明显优于对照组,差异有统计学意义,P>0.05;FFNA治疗组、ALP治疗组手术时间、术中出血量、愈合时间、住院时间及并发症发生率明显优于人工髋关节置换术组,差异有统计学意义,P>0.05。结论在高龄骨质疏松股骨粗隆间骨折的治疗上,PFNA、人工髋关节置换术疗效优于ALP,PFNA创伤小、出血量少及愈合时间短,人工髋关节置换术并发生少,可根据患者情况合理选择。
Objective To investigate the clinical effect of artificial femoral head replacement and internal fixation in the treatment of elderly osteoporotic femoral intertrochanteric fractures. Methods Sixty patients with osteoporotic femoral intertrochanteric fractures admitted to the Fourth People’s Hospital of Langfang City from January 2013 to January 2015 were enrolled in this study. They were divided into PFNA treatment group, ALP treatment group and artificial hip replacement The operation group, operation time, intraoperative blood loss, healing time, hospitalization time, total effective rate of treatment and complication rate were observed. Results The efficacy of PFNA treatment group and ALP treatment group was significantly better than the control group, the difference was statistically significant, P> 0.05; FFNA treatment group, ALP treatment group operation time, intraoperative blood loss, healing time, hospital stay and complication rate Obviously superior to artificial hip replacement group, the difference was statistically significant, P> 0.05. Conclusion PFNA and hip arthroplasty are superior to ALP in the treatment of osteoporotic femoral intertrochanteric fractures in elderly patients. PFNA has less trauma, less bleeding, shorter healing time and fewer hip arthroplasty. According to Reasonable choice of patients.