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目的:探讨两种内固定方法治疗老年骨质疏松性股骨粗隆间骨折的疗效对比。方法:90例老年骨质疏松性股骨粗隆间骨折患者,将其随机分为动力髋螺钉内固定组(对照组)和股骨近端髓内钉内固定组(实验组),每组各45例,比较两组患者手术时间、术中出血量、住院时间与Harris评分。结果:与对照组相比,观察组平均手术时间、术中平均出血量、平均住院时间均明显缩短,差异有统计学意义(P<0.05);而两组Harris评分比较发现,其间差异没有统计学意义,P>0.05。结论:对于老年骨质疏松性股骨粗隆间骨折患者,尽管二者Harris评分差异不明显,但股骨近端髓内钉内固定治疗整体疗效明显优于动力髋螺钉内固定治疗法,值得借鉴。
Objective: To compare the curative effect of two kinds of internal fixation in the treatment of senile osteoporotic femoral intertrochanteric fractures. Methods: Ninety elderly patients with osteoporotic femoral intertrochanteric fractures were randomly divided into two groups: control group (control group) and proximal femoral nail group (experimental group), 45 For example, the operation time, intraoperative blood loss, hospital stay and Harris score were compared between the two groups. Results: Compared with the control group, the average operation time, mean intraoperative blood loss and average length of hospital stay in the observation group were significantly shorter (P <0.05). However, there was no statistical difference between the two groups in the Harris score Significance of learning, P> 0.05. Conclusion: Although the difference between the two groups is not significant, the overall effect of internal fixation of proximal femoral nail is superior to that of dynamic hip screw fixation in senile osteoporotic femoral intertrochanteric fractures.