股骨近端空心钉锁定钢板和空心钉治疗青壮年股骨颈骨折近期疗效分析  

Efficacy of proximal femoral cannulate screw locking plate and cannulate screw for treatment of femoral neck fractures in the young adults

作　　者：张华亮[1] 曾剑文[1] 罗志平[1] 饶海群[1] 谢建军[1] 吴渊[1] 李国勇[1] 王文良[2] 

机构地区：[1]武警江西总队医院骨科,江西南昌300030 [2]武警后勤学院附属医院骨科,天津300162

出　　处：《武警后勤学院学报（医学版）》2015年第4期287-290,共4页Journal of Logistics University of PAP（Medical Sciences）

摘　　要：【目的】比较股骨近端空心钉锁定钢板（proximal femoral cannulate screw locking plate,PF）和空心钉（cannulate screw,CS）治疗青壮年股骨颈骨折的近期疗效。【方法】回顾性分析2011年1月至2013年1月具有完整随访资料的64例青壮年股骨颈骨折患者,根据不同治疗方法分为CS组（n=32）和PF组（n=32）。均根据Garden分类,记录手术时间、出血量、引流量,观察骨折愈合时间、功能恢复、并发症,并进行统计学分析。【结果】64例患者全部获得随访,随访时间为12~24个月（平均16个月）,引流量CS组（120.00±31.62）ml和PF组（106.56±34.41）ml、观察骨折愈合时间CS组（13.12±3.84）个月和PF组（12.50±3.4）个月、Harris评分CS组（77.03±14.15）分和PF组（80.65±10.67）分、并发症两组比较差异无统计学意义（P〉0.05）,手术时间PF组（92.37±13.97）min多于CS组（77.15±16.05）min、出血量PF组（189±87.01）ml多于CS组（278±73.29）ml,两者比较差异有统计学意义（P〈0.05）;随访1年时优良率分别为CS组75%,PF组87.5%。【结论】股骨近端空心钉锁定钢板和空心钉都是治疗青壮年股骨颈骨折的有效方法,相比于空心钉,股骨近端空心钉锁定钢板具有固定可靠、并发症少、满意率高等优点,但手术时间长及出血量较多,手术难度较大。【Objective】To compare the short-term efficacy of proximal femoral cannulate screw locking plate（PF） and cannulate screw（CS） in the treatment of young adults patients with femoral neck fracture.【Methods】The follow-up data of 64 young adults patients with femoral neck fractures were retrospectively analyzed. The patients were divided into CS group（n = 32） and PF group（n = 32）.According to the Garden system,the operation time, blood loss, and drainage volume were recorded. The time of fracture healing,functional recovery, and complications were observed. Statistical analysis was performed.【Resuts】All 64 patients were followed up for12~24months（mean 16 months）. There was no statistical difference in drainage volume between CS group（120 ± 31.62） and PF group（106.56 ±34.41）, time of fracture healing between CS group（13.12 ±3.84） and PF group（12.50±3.4）, Harris score between group CS（77.03 ±14.15） and PF group（80.65±10.67）, and complications（P 〉0.05）. But there was a statistical difference in operation time between CS group（77.15 ± 16.05）and PF group（92.37 ±13.97）, blood loss between CS group（189±87.01）and PF group（278 ±73.29）（P 〈0.05）. The excellent and good rate was 75% and 87.4% respectively in the two groups.【Conclusion】Two treatment methods currently has high clinical value in young adults. compared to the CS, proximal femoral cannulate screw locking plate（PF） PF has a fixed and reliable, fewer complications, high satisfaction rate and so on,but long operation time and amount of bleeding, operation difficulty.

关 键 词：空心钉 股骨近端空心钉锁定钢板 股骨颈骨折 内固定 青壮年 

分 类 号：R683.4[医药卫生—骨科学]