多方法联合治疗青壮年股骨颈骨折的临床观察  

The Clinical Observation of Femoral Neck Fracture in Young and Middle-aged by Many Treatment Methods

作　　者：邓仁椿 崔华明[1] 刘建宁[1] 黄志辉[1] 

机构地区：[1]广东省惠州市中医医院骨一科,广东惠州516001

出　　处：《中国现代医生》2009年第17期46-47,共2页China Modern Doctor

摘　　要：目的探讨青壮年股骨颈骨折的临床特点,并研究多方法联合治疗青壮年股骨颈骨折的临床疗效。方法选择32例21～50岁青壮年股骨颈骨折患者,采用股骨头减压置管介入、骨折端药物注射、静脉点滴等多途径给药,定期观察其骨折的愈合情况和临床疗效。结果术后随访5～9个月,32例股骨颈骨折全部骨性愈合。最短3个月,最长9个月,平均4个月获得骨性愈合;随访至1年,髋关节功能基本正常,无股骨头坏死现象;随访至3年,32例中优26例,良5例,差1例。此1例因过早负重行走,并且年龄偏大(50岁)出现股骨头缺血性坏死,遂行人工全髋关节置换术。结论多方法联合给药治疗青壮年股骨颈骨折疗效确切,且具有操作简便、创伤小、并发症少、恢复快等优点,便于临床推广和应用。Objective To study the characteristics and therapeutic effect of femoral neck fractures in young adults by many treatment methods. Methods 32 cases with femoral neck fractures in young adults 21-50 years. Using of tube decompression of the femoral head involvement,fracture of drug injection,intravenous drip and so many ways of delivery,to regular observe their fracture healing and chnical efficacy. Results All 32 cases with femoral neck fracture postoperative follow-up 5-9 months to obtain bone healing;Follow-up to 1 year of hip joint function was basically normal, non-femoral head necrosis. Follow-up to 3 years, 32 cases in 26 cases of excellent, good in 5 and poor in example 1. Example 1 due to poor weight -bearing walking premature and older （50 years） appear avascular necrosis of femoral head,the total hip arthroplasty. Conclusion The joint methods have an exact effect in patirnts with femoral neck fracture.The advantages were easy to operate, less trauma and fewer complications, fast recovery, easy to promote.

关 键 词：股骨颈骨折 青壮年 联合治疗 

分 类 号：R683[医药卫生—骨科学]