影响髋臼骨折患者术后临床疗效的相关因素分析  

Factors affecting clinical efficacy for patients undergoing acetabular fracture surgery

作　　者：张元勋[1] 董伊隆[1] 钱约男[1] 吴芝芝 柯大观[2] 

机构地区：[1]温州医科大学附属第三医院,325200 [2]温州医科大学信息与工程学院

出　　处：《浙江医学》2016年第5期352-354,共3页Zhejiang Medical Journal

基　　金：温州市科技计划项目(Y20140593);国家自然科学基金资助项目(11005081)

摘　　要：目的探讨影响髋臼骨折患者术后临床疗效的相关因素。方法回顾性分析行手术治疗的髋臼骨折患者77例,对患者年龄、性别、骨折类型、手术时机、手术入路、复位质量等临床资料进行统计学分析。结果 77例患者术后临床疗效优良率为80.5%。单因素分析显示性别、手术入路与髋臼骨折患者术后临床疗效无关(均P>0.05),而年龄、骨折类型、手术时机、复位质量、异位骨化、创伤性关节炎与髋臼骨折患者术后临床疗效有关(均P<0.05)。多因素分析显示骨折类型、手术时机、复位质量是影响髋臼骨折患者术后临床疗效的独立因素(均P<0.05)。结论骨折类型、手术时机、复位质量是影响髋臼骨折患者术后临床疗效的独立因素,而手术时机和复位质量是手术医生可控的,故临床工作中要选择适当手术时机、尽量达到解剖复位,以最大限度地恢复髋臼骨折患者术后髋关节的功能。Objective To investigate the factors affecting clinical efficacy for patients undergoing acetabular fracture surgery. Methods Seventy seven patients with acetabulum fracture receiving surgical treatment in our hospital were enrolled in the study. Age, gender, fracture type, surgical approach, quality of reduction, timing of surgery and other information were collected for statistical analysis. Results The overall clinical curative effect was 80.5%. Univariate analysis showed that the efficacy was correlated with age, fracture type, timing of surgery, quality of reduction, heterotopic ossification and traumatic arthritis （P〈O.05）, but not correlated with gender or surgical approach （P 〉0.05）. Multivariate analysis showed that fracture type, operation time, reduction quality are independent factors affecting clinical outcomes （P〈0.05）. Conclusion Fracture type, operation time, reduction quality may affect clinical outcomes in patients undergoing acetabular fracture surgery.

关 键 词：髋臼骨折 临床疗效 影响因素 LOGISTIC回归分析 

分 类 号：R687.3[医药卫生—骨科学]