60岁以下股骨颈骨折手术治疗术后功能及影响因素分析  

Analysis of function and related impact factors after operation of femoral neck fracture for patients aged less than sixty years

作　　者：周靖[1,2] 党育[1,2] 张培训[1,2] 王静 付中国[1,2] 张殿英[1,2] 王天兵[1,2] 徐海林[1,2] 薛峰[1,2] 陈建海[1,2] 杨明[1,2] 王钢[3] 沈惠良[4] 王光林[5] 吴新宝[6] 姜保国[1,2] 

机构地区：[1]北京大学人民医院创伤骨科,北京100044 [2]北京大学交通医学中心,北京100044 [3]南方医科大学南方医院,广州510515 [4]首都医科大学宣武医院,北京100053 [5]四川大学华西医院,成都610041 [6]北京积水潭医院,北京100035

出　　处：《北京大学学报（医学版）》2011年第5期703-706,共4页Journal of Peking University:Health Sciences

基　　金："十一五"国家科技支撑计划重点项目(2007BAI04B06;2007BAI04B00);国家杰出青年科学基金(30625036);国家重点基础研究发展计划(973计划;2005CB522604);国家自然科学基金(30801169)资助~~

摘　　要：目的:探讨60岁以下患者股骨颈骨折术后随访资料中关节功能及相关影响因素。方法:回顾性分析2001年4月至2009年8月采用手术治疗的93例60岁以下股骨颈骨折患者的临床资料,就年龄、性别、合并疾病、骨折侧别、骨折类型(Garden分型)、自受伤至手术的时间、手术方式、手术时间、卧床时间、内固定是否取出以及随访时髋关节功能评分等因素进行术后随访调查。应用SPSS 13.0统计软件包进行非参数检验、等级相关分析、Logistic回归分析等统计学分析。结果:术后功能评分呈偏态分布,非参数检验得出对功能评分影响有统计学意义的变量为骨折类型(Garden分型,H=7.900,P=0.048),等级相关分析得出有统计学意义的变量亦为骨折类型(Garden分型,rs=0.206,P=0.048),Logistic回归分析得出对功能评分影响有统计学意义的变量同样也是骨折类型(Garden分型,P=0.030)。结论:髋关节术后功能评分呈偏态分布,骨折类型(Garden分型)是60岁以下股骨颈骨折术后功能最主要的影响因素。Objective：To investigate function and related impact factors after operation of femoral neck fracture for patients aged less than sixty years.Methods： In our study,93 patients aged less than sixty years with femoral neck fractures receiving operation from April 2001 to August 2009 and having complete follow-up data were evaluated in terms of age,sex,co-diseases,side of bone fracture,type of bone fracture（Garden classification）,time between injury and operation,operation procedures,operation time,time in bed,removal internal fixation and function score during follow-up period.Nonparametric test,rank correlation analysis and Logistic regression analysis were used by SPSS 13.0.Results： Function scores showed non-normal distribution.By nonparametric test,the following variable in function scores was of statistic significance： the Garden classification（H=7.900,P=0.048）.By analysis of correlation,the following variable in function scores was of statistic significance： Garden classification（rs=0.206,P=0.048）.By Logistic regression analysis,the following variable in function scores was of statistic significance： Garden classification（P=0.030）.Conclusion： Hip function score is of non-normal distribution,and Garden classification is the most important factor influencing the function after operation for femoral neck fracture for patients aged less than sixty years.

关 键 词：股骨颈骨折 髋关节 功能恢复 随访研究 

分 类 号：R683.42[医药卫生—骨科学]