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目的:分析微创DHS内固定与PFNA内固定治疗老年股骨粗隆间骨折的疗效.方法:将2016年6月到2017年6月于本院接受治疗的70例老年股骨粗隆间骨折患者视为分析对象,基于手术治疗方式将其纳入DHS组与PFNA组(n=35).不同手术治疗方式下比较患者的治疗效果及并发症发生情况.结果:DHS组患者术中出血量、骨折愈合时间及术后住院时间均高于PFNA组,组间差异比较具有统计学意义(p＜0.05).同时,PFNA组患者并发症发生率为2.86％,显著低于DHS组发生率14.29％,数据比较具备统计学意义(p＜0.05).结论:微创DHS内固定与PFNA内固定均为治疗老年股骨粗隆间骨折的有效方式,但是相较于微创DHS治疗方式,PFNA内固定治疗方法能够缩短患者的术后恢复时间,降低患者并发症发生率.“,”Objective: to analyze the curative effect of internal fixation and PFNA fixation on the treatment of intertrochanal fractures in elderly patients. Methods: in June 2016 to June 2017 in our hospital for treatment of 70 cases of elderly patients with femoral intertrochanteric fracture as analysis object, based on the surgical treatment included in the DHS group and PFNA group (n=35).The treatment effects and complications of the patients were compared with different surgical treatments. Results: the intraoperative blood loss, fracture healing time and postoperative hospitalization time were higher than that in the PFNA group, and the difference between groups was statistically significant (p＜0.05). Meanwhile, the incidence of complications in the PFNA group was 2.86％, significantly lower than that of the DHS group, which was 14.29％,and the data was statistically significant(p＜0.05). Conclusion: minimally invasive internal fixation with DHS and PFNA internal fixation for treatment of elderly femoral intertrochanteric fractures in an effective way, but compared with minimally invasive DHS treatment, PFNA internal fixation treatment method can shorten the postoperative recovery time of patients, reduce the incidence of complications in patients with.