摘要：目的" 观察经皮加压钢板与防旋股骨近端髓内钉固定治疗股骨近端骨折的临床疗效。方法" 选取2021年11月-2023年10月会昌县人民医院收治的60例股骨近端骨折患者为研究对象，采用随机数字表法分为对照组(n=30)和研究组(n=30)。对照组采用经皮加压钢板治疗，研究组采用防旋股骨近端髓内钉固定治疗，比较两组治疗效果、临床手术指标、髋关节功能、并发症发生率。结果" 研究组治疗总有效率(96.67%)优于对照组(73.33%)(P<0.05)；与对照组比较，研究组手术时间、术中出血量、负重行走时间、骨折愈合时间、卧床时间、住院时间均较短(P<0.05)；与对照组比较，研究组治疗后功能、活动度、畸形、疼痛、总评分等髋关节功能评分均较高(P<0.05)；研究组并发症发生率(3.33%)低于对照组(33.33%)(P<0.05)。结论" 防旋股骨近端髓内钉固定治疗股骨近端骨折的临床疗效确切，能够有效改善患者髋关节功能，减轻患者手术创伤，提高患者术后康复效果，且安全性较高，值得临床应用。

    关键词：经皮加压钢板；防旋股骨近端髓内钉固定；股骨近端骨折

    中图分类号：R687.3" " " " " " " " " " " " " " " " " 文献标识码：A" " " " " " " " " " " " " " " " DOI：10.3969/j.issn.1006-1959.2025.03.022

    文章编号：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 ......