两枚加压钛螺钉交叉内固定对股骨颈骨折疗效的中长期研究  

A long-term study regarding the therapeutic effect of two titanium screw fixation for femoral neck fractures

作　　者：周政[1] 沈奕[1] 黄盛华[1] 

机构地区：[1]中南大学湘雅二医院骨科,长沙410011

出　　处：《中南大学学报（医学版）》2015年第2期182-187,共6页Journal of Central South University ：Medical Science

基　　金：湖南省科技计划项目(2014FJ3144)~~

摘　　要：目的:观察两枚双头加压钛螺钉前后交叉内固定对股骨颈骨折中长期疗效。方法:选取2010年1月至2013年12月在中南大学湘雅二医院骨科进行诊治的股骨颈骨折患者80例,分为实验组(n=50)和对照组(n=30)。实验组患者接受2枚加压钛螺钉前后交叉内固定法治疗,对照组患者接受3枚加压钛螺钉内固定法治疗。对比分析两组患者手术时间、术中出血量、术后Harris髋关节评分。结果:实验组手术时间为(41.6±6.4)min,短于对照组(50.1±7.2)min;术后出血量为(20.2±8.1)m L,少于对照组(31.4±9.8)m L,差异均有统计学意义(均P<0.05)。实验组Harris髋关节评分优良率为94.0%,对照组Harris髋关节评分优良率为93.3%,差异无统计学意义(P>0.05)。结论:两枚双头加压钛螺钉前后交叉内固定对股骨颈骨折中长期疗效良好,具有重要的临床价值,值得推广应用。Objective: To observe the long-term efficacy of two double-head compression titanium screw anterior and posterior cross internal fixation on femoral neck fracture. Methods: A total of 80 patients with the femoral neck fracture, from January 2010 to December 2013 in the Second Xiangya Hospital, Central South University, were selected and divided into an experimental group(n=50) and a control group(n=30). The experimental group received the treatment of two compression titanium screw anterior and posterior internal fixation, while the control group received three titanium screw internal fixation. Surgery time and intraoperative blood loss and postoperative Harris hip score were compared between the 2 groups. Results: The operative time in the experimental group was(41.6±6.4) min, which was shorter than that in the control group [(50.1±7.2) min], the postoperative bleeding loss was(20.2±8.1) m L, which was less than that in the control group [(31.4±9.8) m L], with significant difference(both P<0.05). The excellence rate of Harris hip score was 94.0% in the experimental group, while that in the control group was 93.3%, with no significant difference(P>0.05). Conclusion: Two double-head compression titanium anterior and posterior cross internal fixation shows a good long-term efficacy on femoral neck fracture, which holds important clinical value and should be widely spread.

关 键 词：股骨颈骨折 加压钛螺钉 前后交叉内固定 中长期研究 

分 类 号：R687.3[医药卫生—骨科学]