秦华平

【摘 要】目的 观察和探究闭合复位PFNA术治疗股骨粗隆骨折对患者骨折愈合和生活质量的影响。方法 挑选2016年5月—2018年4月于本院进行PFNA术的股骨粗隆骨折患者69例，根据掷骰子大中小点数分组，A组23例患者采取改良闭合复位，B组23例患者采取传统闭合复位，C组23例患者采取切开复位，分析和对比三组骨折愈合情况和生活质量。结果 经1年随访工作可知，A、C组的骨折愈合和生活质量明显比B组更优（P<0.05），但A、C两组对比无明显差异（P>0.05）。结论 对股骨粗隆骨折患者给予闭合复位PFNA术具有较好的效果，但改良闭合复位可有效弥补传统闭合复位的缺陷，有助于提升患者生活质量，促进患者骨折愈合。

【关键词】闭合复位；PFNA术；股骨粗隆骨折；骨折愈合；生活质量

Abstract Objective To observe and explore the effect of closed reduction PFNA on fracture healing and quality of life in patients with femoral intertrochanteric fracture. Methods 69 cases of trochanter fracture of femur were selected from May 2016 to April 2018 in our hospital. According to the operation time， the patients were divided into group A， group B and group C. The three groups were 23 cases each， and the improved closed reduction， traditional closed reduction and open reduction were adopted to compare the bone fracture healing and quality of life in the three groups. Results 12 months after operation， the good rate of hip joint function and quality of life in group A and C were significantly better than those in group B （P < 0.05）， while the fracture healing and quality of life in group A and C group were not statistically significant （P > 0.05）. Conclusion the effect of closed reduction for PFNA in femoral trochanter fractures is significant， but the improved closed reduction can effectively compensate for the defects of traditional closed reduction， improve the quality of life of the patients and promote the healing of the patients.

keyword closed reduction； PFNA； femoral trochanteric fracture； fracture healing； quality of life

【中圖分类号】R473.5 【文献标识码】A 【文章编号】1672-3783（2018）10-03--01

股骨粗隆骨折是骨科较多见的骨折类型之一，其临床症状为髋关节功能障碍、关节肿胀疼痛等，根据相关实验得知，PFNA内固定术能有效治疗股骨粗隆骨折，提高患者髋关节功能，其中主要包括切开和闭合两种复位方法。这次实验在此基础上，挑选69例股骨粗隆骨折患者，分析闭合复位PFNA术治疗对其骨折愈合和生活质量的影响，详细研究数据和过程如下。

1 资料和方法

1.1 临床资料

挑选2016年5月—2018年4月于本院进行PFNA术的股骨粗隆骨折患者69例，根据掷骰子大中小点数分组，A、B、C三组均23例，患者经CT检查、X线检查均符合股骨粗隆骨折临床标准者，患者最小和最大年纪为17岁和73岁，平均年纪（41.28±3.41）岁。三组患者在骨折程度、骨折原因等临床资料方面未呈现明显比较差异（P>0.05）。……