經皮加壓鋼板與防旋股骨近端髓內釘固定治療 股骨近端骨折的臨床療效

摘要：目的" 觀察經皮加壓鋼板與防旋股骨近端髓內釘固定治療股骨近端骨折的臨床療效。方法" 選取2021年11月-2023年10月會昌縣人民醫院收治的60例股骨近端骨折患者為研究對象，采用隨機數字表法分為對照組（n=30）和研究組（n=30）。對照組采用經皮加壓鋼板治療，研究組采用防旋股骨近端髓內釘固定治療，比較兩組治療效果、臨床手術指標、髖關節功能、并發癥發生率。結果" 研究組治療總有效率（96.67%）優于對照組（73.33%）（P＜0.05）；與對照組比較，研究組手術時間、術中出血量、負重行走時間、骨折愈合時間、臥床時間、住院時間均較短（P＜0.05）；與對照組比較，研究組治療后功能、活動度、畸形、疼痛、總評分等髖關節功能評分均較高（P＜0.05）；研究組并發癥發生率（3.33%）低于對照組（33.33%）（P＜0.05）。結論" 防旋股骨近端髓內釘固定治療股骨近端骨折的臨床療效確切，能夠有效改善患者髖關節功能，減輕患者手術創傷，提高患者術后康復效果，且安全性較高，值得臨床應用。

關鍵詞：經皮加壓鋼板；防旋股骨近端髓內釘固定；股骨近端骨折

中圖分類號：R687.3" " " " " " " " " " " " " " " " " 文獻標識碼：A" " " " " " " " " " " " " " " " DOI：10.3969/j.issn.1006-1959.2025.03.022

文章編號：1006-1959（2025）03-0118-04

Clinical Efficacy of Percutaneous Compression Plate and Anti-rotation Proximal Femoral Intramedullary Nail Fixation in the Treatment of Proximal Femoral Fractures

WEN Yuxiang1， OUYANG Wenhui2

（Department of Orthopedics1， Department of Traditional Chinese Medicine2， Huichang County People′s Hospital，

Huichang 342699， Jiangxi， China）

Abstract：Objective" To observe the clinical efficacy of percutaneous compression plate and anti-rotation proximal femoral intramedullary nail fixation in the treatment of proximal femoral fractures. Methods" A total of 60 patients with proximal femoral fractures admitted to Huichang County People′s Hospital from November 2021 to October 2023 were selected as the research objects. They were divided into control group and study group by random number table method， with 30 patients in each group. The control group was treated with percutaneous compression plate， and the study group was treated with anti-rotation proximal femoral intramedullary nail fixation. The therapeutic effect， clinical surgical indicators， hip function and complication rate were compared between the two groups. Results" The total effective rate of treatment in the study group （96.67%） was better than that in the control group （73.33%） （Plt;0.05）. Compared with the control group， the operation time， intraoperative blood loss， weight-bearing walking time， fracture healing time， bed rest time and hospitalization time of the study group were shorter （Plt;0.05）. Compared with the control group， the scores of hip joint function such as function， activity， deformity， pain and total score after treatment in the study group were higher （Plt;0.05）. The incidence of complications in the study group （3.33%） was lower than that in the control group （33.33%） （Plt;0.05）. Conclusion" The clinical efficacy of anti-rotation proximal femoral intramedullary nail fixation in the treatment of proximal femoral fractures is definite， which can effectively improve the hip function of patients， reduce the surgical trauma of patients， improve the postoperative rehabilitation effect of patients， and has high safety. It is worthy of clinical application.

Key words：Percutaneous pressure plate; Anti-rotation proximal femoral intramedullary nail fixation; Proximal femoral fracture

股骨近端骨折（proximal femoral fracture）是常見的關節囊外骨折疾病，指發生在小粗隆和股骨頸基底水平間的骨折，為骨科常見病，其發病原因與老年群體骨質疏松相關[1]。隨人口老齡化的加重，股骨近端骨折于老年人群中較為多見，嚴重威脅老年患者的身體健康、生活質量。對于因外界直接暴力造成股骨近端骨折的老年患者，多開展保守治療，但會對患者生命安全產生嚴重威脅[2]。……