两种方法治疗股骨颈骨折的临床疗效和安全性  

Curative effect and safety of two different treatments of femoral neck fracture

作　　者：张增堂 

机构地区：[1]陕西省榆林市神木县县医院骨科,719300

出　　处：《检验医学与临床》2013年第17期2246-2247,共2页Laboratory Medicine and Clinic

摘　　要：目的研究对股骨颈骨折的患者采用带旋髂深血管髂骨瓣联合空心加压螺钉的方法进行治疗,观察其临床疗效及其安全性。方法选取在本院治疗的股骨颈骨折患者41例,均以随机方式选取,根据患者采用的治疗方式不同分为两组。对照组20例,仅采用空心加压螺钉内固定进行治疗;观察组21例,则采用带旋髂深血管髂骨瓣联合空心加压螺钉的方法进行治疗。对于患者手术前后的情况进行评分比较,并对其手术时间及术中出血量进行对比观察。结果观察组骨折治愈率为90.5%,两组对比差异有统计学意义(P<0.05)。患者术后采用髋关节功能Harris评分,观察组优良率为85.7%,对照组优良率为55.0%,两组比较差异有统计学意义(P<0.05)。观察组患者所用手术时间较长,出血量较多,组间对比差异有统计学意义(P<0.05)。结论带旋髂深血管髂骨瓣联合空心加压螺钉的方法治疗股骨颈骨折的患者,创伤小,预后好,并发症发生率较低,值得临床推广使用。Objective To research and explore the clinical effect of spin iliac blood vessels deep iliac flap com-bined with hollow compression screw on femoral neck fracture .Methods 41 cases of femoral neck fracture patients were divided into control group （20 cases） ,receiving hollow compression screw internal fixation ,and observation group （21 cases） ,receiving spin iliac blood vessels deep iliac flap combined with hollow compression screw .Condi-tion of disease before and after surgery ,operative time and intraoperative blood loss were compared between the two groups .Results Fracture cure rate ,Harris score ,surgery time and blood loss of the observation group were signifi-cantly different with those in control group （P〈0 .05） .Conclusion Spin iliac blood vessels deep iliac flap combined with hollow compression screws for the treatment of patients with femoral neck fracture might be with small trauma , good prognosis and low incidence of complications ,while might be with certain operation risk .

关 键 词：股骨颈骨折 带旋髂深血管髂骨瓣 空心加压螺钉 

分 类 号：R683.42[医药卫生—骨科学]