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目的：分析股骨近端防旋髓内钉( PFNA)内固定治疗高龄股骨粗隆间骨折的临床疗效。方法将2013年1月至2014年1月吉林油田总医院收治的60例高龄股骨粗隆间骨折患者采用随机数字表法分为两组：对照组(30例)采用动力髋螺钉(DHS)法治疗,PFNA组(30例)采用PNFA法治疗。记录两组患者的术中及术后情况,并进行比较分析。结果 PFNA组患者的手术时间为(55.2±9.8) min、手术出血量为(98.1±23.2) mL,均低于对照组患者手术时间(111.2±10.2) min、术中出血量(221.3±28.7) mL(P<0.05)。 Harris标准评分,对照组患者优良率为66.7%,PFNA组优良率为86.7%。结论 PFNA内固定法具有创伤小、固定牢靠、并发症少的优点,更适用于高龄患者股骨粗隆间骨折的治疗。“,”Objective To analyze the clinical effect of PFNA internal fixation treatment for 60 cases of elderly patients with intertrochanteric fracture. Methods 60 cases of intertrochanteric fracture in aged pa-tients admitted to the Qilfields General Hospital of Jilin Province from 2013 January to 2014 January were di-vided into two groups by random number table method,30 case of the control group by using DHS treatment and 30 case of PFNA group treatment with PNFA method,with intraoperative and postoperative situation a-nalysis of the two groups patients.Results The patients of PFNA with operation time (55.2 ±9.8)min , surgical blood loss (98.1 ±23. 2)mL, operation time and surgical blood loss were lower than the control group patients bleeding amount of (111.2 ±10.2) min and (221.3 ±28.7) mL(P<0.05). And compli-cations occurred 7 cases in the control group,PFNA group 2 cases,PFNA group complications was less than the control group. Harris standard score,the control group patients was 66. 7%,PFNA group was 86. 7%. Conclusion PFNA internal fixation method has the advantages of small trauma fixation and less complica-tions,which is more suitable for senile patients with intertrochanteric fracture treatment.