摘要【目的】评价新改进的股骨近端髓内钉（PFNA）和倒置股骨髁微创内固定系统（LISS）钛板治疗股骨粗隆间骨折的疗效。【方法】本院2010年8月至2012年6月股骨粗隆间骨折患者57例，均采用手术治疗，其中27例采用PFNA固定（PFNA组），30例采用倒置股骨髁LISS钛板固定（LISS组），比较两组平均手术时间、出血量、切口长度、骨折愈合时间、内固定失效例数、术后6个月大腿疼痛（V A S法）评分、术后髋关节评分（Harris评分）。【结果】本组中57例患者随访时间为6～24个月。PFNA组手术出血量、切口长度、内固定失效例数小于LISS组（ P ＜0．05）；两组手术时间、骨折愈合时间、术后6个月VAS评分、Harris评分比较无显著性差异（ P＞0．05）。【结论】两种方法治疗股骨粗隆间骨折均取得满意疗效，但PFNA操作简单、组织损伤小，优于使用倒置股骨髁LISS钛板。
Abstract：To evaluate the efficacy of proximal femoral intramedullary nail(PFNA) and the in-verted femoral condyle LISS titanium plate for the treatment of intertrochanteric fracture .[Methods] A total of 65 inpatients with femoral intertrochanteric fracture in our hospital from Aug .2010 to June 2012 were col-lected .All patients were treated by surgery .Among 57 patients with follow up ,27 patients were fixed with PFNA and 30 patients were fixed with the inverted femoral condyle LISS titanium plate .The average operation time ,blood loss ,length of incision ,fracture healing time ,internal fixation failure cases ,thigh pain score (VAS) at 6 months after operation and postoperative hip score (Harris score) were compared between two groups .[Results] Of 65 patients ,57 patients were followed up for 6~24 months .Intraoperative blood loss , length of incision and internal fixation failure cases in PFNA group were less than those in the inverted femoral condyle LISS titanium plate group .There was no significant difference in operation time ,fracture healing time ,VAS score at 6 months after the operation and Harris score between two groups .[Conclusion] The two methods in the treatment of intertrochanteric fracture can obtain satisfactory efficacy .PFNA has simple opera-tion and little trauma ,so it is better than the inverted femoral condyle LISS titanium plate .
2014, Vol. 31 
