股骨粗隆间骨折是中老年常见骨折类型之一，常同骨质疏松并存。DHS因其确切的疗效及易操作性，目前是治疗股骨粗隆间骨折的理想的内固定材料之一[1，2]。2007年6月至2010年6月将入选的80例股骨粗隆间骨折患者，根据手术方法的不同随机分为DHS组及Gamma钉组各40例，旨在比较动力髋螺钉(Dynamic Hip Screw，DHS) 与Gamma钉治疗股骨粗隆间骨折的疗效，现报道如下。
论著
DHS与Gamma钉治疗股骨粗隆间骨折的疗效比较
张进
【摘要】 目的 比较动力髋螺钉(DHS) 与Gamma钉治疗股骨粗隆间骨折的疗效。方法 入选的80例股骨粗隆间骨折患者根据手术方法的不同随机分为DHS组及Gamma钉组各40例，探讨两组的手术疗效。
【关键字】 股骨粗隆间骨折,动力髋螺钉,Gamma钉
中图分类号：R683.42文献标识码：B文章编号：1671-8194（2011）01-0037-02
Comparative Efficacy of Intertrochanteric Fractures Treated by DHS and Gamma Nail
ZHANG Jin
Mianyang Central Hospital, Mianyang 621000, China
[Abstract]Objective To compare the dynamic hip screw (Dynamic Hip Screw, DHS) and the Gamma nail in treatment of intertrochanteric fractures. Methods 80 patients selected patients with intertrochanteric fracture surgical methods according to the different groups were randomly divided into DHS and Gamma nail group 40 cases of surgery in both groups. Results 80 patients with no deaths, DHS group, Gamma nail group, the total effective rate, the difference was not statistically significant, but the Gamma nail group, operative time and bleeding volume less than or less than the DHS group, but the callus seen , fracture healing time, hospitalization time is longer than the DHS group. Followed up for 7 months to 2 years, DHS group was significantly higher complication rate, the difference was significant (P<0.05). Conclusions Two kinds of surgical treatment of intertrochanteric fractures of the effective surgical methods, but have advantages and disadvantages, clinicians should choose a good indication.